| NPI | 1831572098 |
|---|---|
| Former Name | GLORIA SOFIA SUAREZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME145738) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 32030R) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2021-06-07 |