NPI | 1841281862 |
---|---|
Former Name | LEILA SEVILLA LEGACION |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX L2752) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A7515) |
Enumeration Date | 2005-10-31 |
Last Update Date | 2010-07-06 |