NPI | 1457577827 |
---|---|
Former Name | MYLENE ABASOLO BERSAMINA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 12460) |
Additional Taxonomies | 208D00000X General Practice (Licence: IL 125048180) |
Enumeration Date | 2007-04-17 |
Last Update Date | 2023-08-27 |