NPI | 1558803999 |
---|---|
Former Name | MARITZA ALVARADO MAUE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A151393) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2016-11-16 |
Last Update Date | 2021-12-14 |