NPI | 1568480556 |
---|---|
Former Name | CARINA F LEON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A102039) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PR 15609) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2010-07-08 |