| NPI | 1235626409 |
|---|---|
| Former Name | CYNTHIA CRYSTAL AVILA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NM MD2021-0761) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2023-11-01 |