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 |