NPI | 1003128919 |
---|---|
Former Name | KETTI SOPHIA AUGUSZTINY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: MI 4301096617) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301096617) |
Enumeration Date | 2010-07-08 |
Last Update Date | 2020-11-11 |