NPI | 1760374250 |
---|---|
Former Name | EDELVIS ISEL LACHATAIGNERAIS BONET |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: FL HSE22351) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL HSE22351) |
Enumeration Date | 2025-07-17 |
Last Update Date | 2025-09-08 |