NPI | 1417390816 |
---|---|
Former Name | ANA R MORENO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60666836) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2013-04-16 |
Last Update Date | 2021-04-28 |