NPI | 1003874314 |
---|---|
Former Name | MARIE SUSAN ENAKA YEMBE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 199975) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX Q5954) |
Enumeration Date | 2006-05-03 |
Last Update Date | 2019-09-25 |