NPI | 1821251372 |
---|---|
Former Name | JOCELYN A BURGOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60579595) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09089500) |
Enumeration Date | 2008-07-04 |
Last Update Date | 2015-09-22 |