NPI | 1679954564 |
---|---|
Former Name | MIRIAM CANALES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: OK 33666) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 33666) |
Enumeration Date | 2015-06-16 |
Last Update Date | 2024-01-09 |