| NPI | 1609178839 |
|---|---|
| Former Name | CIRA PATRICIA BALLESTAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME118826) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2010-11-19 |
| Last Update Date | 2021-09-09 |