NPI | 1386965028 |
---|---|
Former Name | LISA ESPIRITU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 269351) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60347934) |
Enumeration Date | 2010-06-17 |
Last Update Date | 2017-12-05 |