NPI | 1588995682 |
---|---|
Other Name | MARICELIS IRIZARRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN551) |
Additional Taxonomies | 208D00000X General Practice (Licence: PR 17518) |
Enumeration Date | 2010-01-29 |
Last Update Date | 2023-03-06 |