| NPI | 1285689232 |
|---|---|
| Former Name | GIOVANNA RODRIGUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME95594) |
| Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: FL ME95594) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2022-11-30 |