NPI | 1508086182 |
---|---|
Former Name | LIZA ISABEL GENAO GONZALEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NC 2009-01514) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 50824) |
Enumeration Date | 2007-04-26 |
Last Update Date | 2018-01-12 |