NPI | 1427054055 |
---|---|
Former Name | JOCELYN HIROKO VILLANUEVA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M3123) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-07-9365) |
Enumeration Date | 2005-06-28 |
Last Update Date | 2020-10-20 |