| NPI | 1841752250 |
|---|---|
| Former Name | JULISSA PLACENCIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 338497) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036161456) |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2023-09-12 |