NPI | 1861593246 |
---|---|
Other Name | LISA MICHELLE GUERRA VARGAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX T3403) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA G75830) |
Enumeration Date | 2006-09-26 |
Last Update Date | 2022-03-11 |