NPI | 1558894071 |
---|---|
Other Name | LUISA CORPUZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.142958) |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: OH 35.142958) |
Enumeration Date | 2017-04-11 |
Last Update Date | 2021-08-17 |