NPI | 1457465999 |
---|---|
Former Name | ANGELICA CARRANZA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: CO 40122) |
Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CO 40122) |
Enumeration Date | 2006-08-19 |
Last Update Date | 2009-09-30 |