NPI | 1871715409 |
---|---|
Former Name | ALMA AURORA LAZARO DE LEON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60071755) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD 60071755) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2020-12-03 |