NPI | 1649894403 |
---|---|
Other Name | KATHLYN TATIANA LARCO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA PA59086) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA PA59086) |
Enumeration Date | 2020-06-07 |
Last Update Date | 2022-08-16 |