NPI | 1326107954 |
---|---|
Former Name | LILIA PRADO-GOBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV DO2678) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A5538) |
Enumeration Date | 2006-12-08 |
Last Update Date | 2025-02-05 |