NPI | 1245770163 |
---|---|
Former Name | JANE LONGARES EBLACAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME157194) |
Enumeration Date | 2017-02-24 |
Last Update Date | 2024-05-27 |