| NPI | 1790798270 |
|---|---|
| Former Name | LEONORA BALBUENA MANZANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: OR ORMD0277) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: WA WAMD00034628) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-07-08 |