NPI | 1598870859 |
---|---|
Former Name | MA THERESA CHARISSE LAURON DE LOS REYES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA Y7825877) |
Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: CA Y7825877) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: VT 060-0004725) | |
Enumeration Date | 2006-08-20 |
Last Update Date | 2022-08-16 |