| NPI | 1295931772 |
|---|---|
| Former Name | IVETTE MARGARITA LAMBOY MEDINA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MI 4301108932) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 11990) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2016-01-13 |