| NPI | 1770877946 |
|---|---|
| Other Name | IVET JORDAN CARVAJAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME118873) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2021-09-13 |