NPI | 1811342207 |
---|---|
Former Name | SANDRALIZ HERNANDEZ BANCHS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME140733) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AL 8856093) |
Enumeration Date | 2016-05-04 |
Last Update Date | 2024-10-15 |