| NPI | 1871719187 |
|---|---|
| Former Name | REVE GAMBA PURISIMA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 247435) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2018-11-02 |