NPI | 1568949816 |
---|---|
Former Name | ELVIA LILY CASTRO COREA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA 55654) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 55654) |
Enumeration Date | 2018-07-19 |
Last Update Date | 2021-10-12 |