NPI | 1295174522 |
---|---|
Former Name | CHRISTINE GUZMAN GUEVARA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C203041) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 52752) |
Enumeration Date | 2013-06-20 |
Last Update Date | 2025-08-11 |