NPI | 1902896988 |
---|---|
Former Name | RAQUEL B BALADAJIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: PA MD428661) |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NJ 25MA08062300) |
Enumeration Date | 2005-10-21 |
Last Update Date | 2010-06-09 |