NPI | 1326290677 |
---|---|
Former Name | EILEEN ANNE RIMANDO VICALDO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036151087) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: ND 12202) |
Enumeration Date | 2008-10-17 |
Last Update Date | 2023-11-16 |