NPI | 1417917790 |
---|---|
Former Name | MARIA NELIDA LAGDA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD10275) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD00016463) |
Enumeration Date | 2006-03-23 |
Last Update Date | 2007-07-08 |