NPI | 1609134105 |
---|---|
Former Name | NYDIA Y. DE SOTO - CORDERO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: PR 19970) |
Additional Taxonomies | 208600000X Surgery (Licence: PR 19970) |
Enumeration Date | 2012-05-03 |
Last Update Date | 2018-09-07 |