NPI | 1265015457 |
---|---|
Former Name | GIOVANNA L VASQUEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID MRM-2053) |
Enumeration Date | 2021-05-04 |
Last Update Date | 2023-04-12 |