| NPI | 1710107180 |
|---|---|
| Other Name | MIRIAM LORRAINE GARCELLANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34010542) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 1170) |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: MI 5101016318) | |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2023-03-07 |