NPI | 1255316311 |
---|---|
Former Name | RITA OTILIA PICHARDO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: NC 200500140) |
Additional Taxonomies | 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology (Licence: NC 200500140) |
207NP0225X Dermatology, Pediatric Dermatology (Licence: NC 200500140) | |
Enumeration Date | 2005-12-13 |
Last Update Date | 2010-10-21 |