NPI | 1992755896 |
---|---|
Former Name | ILKA YADIRA NAZARIO PEREZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME92944) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036158035) |
208000000X Pediatrics (Licence: FL ME92944) | |
Enumeration Date | 2006-05-11 |
Last Update Date | 2024-03-20 |