NPI | 1376532481 |
---|---|
Former Name | OLGA OLIVERA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0067152) |
Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101237777) |
Enumeration Date | 2005-10-20 |
Last Update Date | 2011-06-10 |