| NPI | 1811095342 |
|---|---|
| Former Name | CARMEN S MANSILLA-ORIHUELA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: WI 47048) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: WI 47048) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2016-11-07 |