| NPI | 1942798962 |
|---|---|
| Former Name | ANGELICA PATRICIA BOLIVAR GUERRERO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101281387) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NM MD2021-0878) |
| 208000000X Pediatrics (Licence: TX 681703) | |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2024-10-04 |