| 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 |