NPI | 1457714859 |
---|---|
Former Name | INGRID L GUTIERREZ-VILLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME140501) |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: FL ME140501) |
Enumeration Date | 2016-04-01 |
Last Update Date | 2024-06-28 |