| NPI | 1477696193 |
|---|---|
| Former Name | SVETLANA CLARAVALL LAZARO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 268281) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 24607) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-11-18 |