NPI | 1902092307 |
---|---|
Former Name | MICHELLE IRENE SALAZAR-CORNMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA A98934) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A98934) |
Enumeration Date | 2007-09-19 |
Last Update Date | 2021-12-13 |