| NPI | 1891994968 |
|---|---|
| Former Name | LETICIA CASTILLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX N2980) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 256955) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2021-01-14 |