NPI | 1902167737 |
---|---|
Former Name | RACHEL B BEREDO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301100941) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301100941) |
Enumeration Date | 2012-06-07 |
Last Update Date | 2022-07-21 |