NPI | 1437539541 |
---|---|
Former Name | LILIANA COLON SANTOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: PR 19502) |
Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: PR 19502) |
207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: FL ME156377) | |
Enumeration Date | 2015-06-03 |
Last Update Date | 2022-07-18 |