NPI | 1558858316 |
---|---|
Former Name | MARYANN YSABEL ALVAREZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP20077539) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10063919) |
208000000X Pediatrics (Licence: VA 0102206579) | |
Enumeration Date | 2018-04-17 |
Last Update Date | 2021-09-21 |