NPI | 1811342975 |
---|---|
Former Name | YANELQUIS ACOSTA DUQUE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX T7064) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME141456) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-04-26 |
Last Update Date | 2023-04-24 |