| NPI | 1982681151 |
|---|---|
| Former Name | MARIA VIRGINIA AVILA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A89929) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A89929) |
| 207Q00000X Family Medicine (Licence: AK 6825) | |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2012-05-30 |