| NPI | 1669877908 |
|---|---|
| Other Name | CLARISSA V REYNOSO AZURIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA 334001) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC MD41082) |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2023-03-14 |