| NPI | 1518186733 |
|---|---|
| Former Name | DANIELA SEVILLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 14651) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 258143) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-12-01 |