NPI | 1831755115 |
---|---|
Former Name | NIDIA M PEREZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX U1542) |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX U1542) |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX U1542) | |
208D00000X General Practice (Licence: TX U1542) | |
Enumeration Date | 2019-05-13 |
Last Update Date | 2023-06-26 |