NPI | 1609498393 |
---|---|
Former Name | PATRICIA ELENA SUMOZA DAVALILLO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036164787) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125075873) |
207R00000X Internal Medicine (Licence: IL 036164787) | |
Enumeration Date | 2020-05-15 |
Last Update Date | 2023-06-14 |