NPI | 1639581929 |
---|---|
Former Name | MARIA ANTONIETTA CABALLERO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX R4045) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2014-05-21 |
Last Update Date | 2021-06-24 |