NPI | 1285080887 |
---|---|
Former Name | ROCIO D AMEZQUITA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME145868) |
Additional Taxonomies | 208D00000X General Practice (Licence: PR 19381) |
Enumeration Date | 2016-05-12 |
Last Update Date | 2024-05-17 |