NPI | 1740454347 |
---|---|
Former Name | JACLYN D AGUAYO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 50162) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2008-04-15 |
Last Update Date | 2021-06-21 |