| NPI | 1568048338 |
|---|---|
| Other Name | ILEAN MARIEL VAZQUEZ SANTOYO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0073103) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2024-08-16 |