NPI | 1952539223 |
---|---|
Former Name | TANIA GONZALEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ND0900X Dermatology Dermatopathology (Licence: PR 22836) |
Additional Taxonomies | 207N00000X Dermatology (Licence: MN 105584) |
207N00000X Dermatology (Licence: MN 54430) | |
207N00000X Dermatology (Licence: ND LT15015) | |
Enumeration Date | 2009-06-25 |
Last Update Date | 2023-04-20 |