| NPI | 1407494594 |
|---|---|
| Other Name | MARISOL AREIZAGA MONTALVO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 22500) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2022-02-09 |