NPI | 1831453976 |
---|---|
Former Name | ALEJANDRINA GUZMAN BONILLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0055693) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO TL-4533) |
Enumeration Date | 2012-07-03 |
Last Update Date | 2016-08-11 |