NPI | 1225422074 |
---|---|
Other Name | VALERIA CRISTINA BALDIVIESO HURTADO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine (Licence: FL ME134252) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME134252) |
Enumeration Date | 2015-03-18 |
Last Update Date | 2021-11-03 |