NPI | 1285897926 |
---|---|
Former Name | DENISE GRACE CANONIZADO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101257830) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT192578) |
208M00000X Hospitalist (Licence: VA 0101257830) | |
Enumeration Date | 2008-07-02 |
Last Update Date | 2024-01-16 |