NPI | 1003044256 |
---|---|
Former Name | STEPHANIE P TECUN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD14368) |
Additional Taxonomies | 208000000X Pediatrics (Licence: RI MD14368) |
Enumeration Date | 2009-06-26 |
Last Update Date | 2020-10-19 |