NPI | 1942662572 |
---|---|
Former Name | JIMENA ANABEL REPETTO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 73312) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A163319) |
Enumeration Date | 2016-03-23 |
Last Update Date | 2023-02-17 |