| NPI | 1770966699 |
|---|---|
| Other Name | EDNA MARITZA JUAREZ RAMIREZ TELLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2018-0039) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2018-05-21 |