NPI | 1902861123 |
---|---|
Former Name | CHRISTINE D REYES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 075547) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E-3560) |
Enumeration Date | 2006-04-19 |
Last Update Date | 2022-02-15 |