| NPI | 1336457258 |
|---|---|
| Former Name | BLANCA VIRIDIANA TAPIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60561200) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: WA MD60561200) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2021-03-05 |