| NPI | 1417119827 |
|---|---|
| Former Name | DAYANA OTHONIE CARCAMO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A11529) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 9406987) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2012-04-26 |