| NPI | 1740742766 |
|---|---|
| Former Name | PERSIS CELINA PUELLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME155116) |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: FL ME155116) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2025-09-24 |