| NPI | 1790050029 |
|---|---|
| Former Name | SOPHIA LYNN CENAC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2015014479) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207R00000X Internal Medicine (Licence: LA MD.207416) | |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2015-07-04 |