NPI | 1578630885 |
---|---|
Former Name | EMILLIA CRISTINA ORTIZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0052363) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036123613) |
Enumeration Date | 2006-11-29 |
Last Update Date | 2022-07-21 |