NPI | 1750554093 |
---|---|
Other Name | JANIE CASTILLO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P2836) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2008-04-08 |
Last Update Date | 2013-04-30 |