| NPI | 1992900088 |
|---|---|
| Former Name | AURORA JULIANA CANLAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101246774) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 266886) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2014-10-31 |