NPI | 1720344054 |
---|---|
Former Name | TANIA FERNANDEZ LOZANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 49304) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10043162) |
Enumeration Date | 2012-04-11 |
Last Update Date | 2022-07-21 |