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 |