NPI | 1467460832 |
---|---|
Former Name | FLORDELYS CASTRO SANTILLAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: WA MD00033875) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD00033875) |
Enumeration Date | 2006-08-03 |
Last Update Date | 2013-01-08 |