| NPI | 1992839195 |
|---|---|
| Former Name | CORINNA AVALOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA 61380078) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101253750) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2024-01-10 |