NPI | 1629463302 |
---|---|
Former Name | CRISTINA CORONADO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A147543) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2015-03-31 |
Last Update Date | 2019-12-10 |