| NPI | 1306859541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YNGRID LITHGOW President 787-860-3386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PR 11335) |
| Additional Taxonomies | 208600000X Surgery (Licence: PR 6201) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-08-22 |