NPI | 1447564604 |
---|---|
Former Name | LOURDES ROBLES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: CA A121710) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 125058711) |
Enumeration Date | 2010-07-29 |
Last Update Date | 2025-06-02 |