| NPI | 1275916587 |
|---|---|
| Former Name | MIRIAM SEGURA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: RI LP04108) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: RI LP04108) |
| 208D00000X General Practice (Licence: NY 286164) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2018-05-30 |