NPI | 1720535610 |
---|---|
Other Name | VIVIANA MARIA SERRA LOPEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 321603-01) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MT215947) |
Enumeration Date | 2016-09-08 |
Last Update Date | 2023-05-25 |