NPI | 1669743514 |
---|---|
Former Name | CAROL BLANCA ORZGA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL OS17347) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 143620) |
Enumeration Date | 2012-01-24 |
Last Update Date | 2021-01-07 |