| NPI | 1891757761 |
|---|---|
| Former Name | AILEEN GAYOSO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 35751) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 15680) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2023-04-17 |