NPI | 1316143985 |
---|---|
Former Name | CHRISSY ALVINA RODRIGUEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P4988) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102202112) |
Enumeration Date | 2007-06-21 |
Last Update Date | 2018-06-01 |