NPI | 1508483132 |
---|---|
Professional Name | GIOVANNA MEDINA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: PA MT221483) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 1016134) |
Enumeration Date | 2020-06-30 |
Last Update Date | 2023-08-15 |