| 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 |