NPI | 1467610006 |
---|---|
Former Name | SHADIA SAMIRA SANTOS DONOSO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: GU M-2067) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD435651) |
207R00000X Internal Medicine (Licence: GU M-2067) | |
207R00000X Internal Medicine (Licence: GU MTL-2017-078) | |
Enumeration Date | 2008-05-30 |
Last Update Date | 2019-05-16 |