NPI | 1619967122 |
---|---|
Former Name | SARA CACERES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME124421) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 049485) |
Enumeration Date | 2005-10-26 |
Last Update Date | 2024-06-11 |