NPI | 1699418020 |
---|---|
Former Name | DIANA MILENA ALVAREZ VILLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD488704) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2022-04-14 |
Last Update Date | 2025-08-01 |