NPI | 1356579023 |
---|---|
Former Name | DIANA MATIAS CLIMACO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 68875) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-128565) |
Enumeration Date | 2009-07-01 |
Last Update Date | 2021-09-01 |