NPI | 1629538459 |
---|---|
Former Name | KARINA LEDEZMA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A180118) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2019-03-19 |
Last Update Date | 2024-07-18 |