| NPI | 1407295785 |
|---|---|
| Former Name | JENNIFER MARGARITA RONCALLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q6696) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10047966) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2016-02-11 |