NPI | 1013451731 |
---|---|
Other Name | MARIA FATIMA GEORGIA MISA THIEME |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95004318) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95004318) |
Enumeration Date | 2016-12-14 |
Last Update Date | 2018-04-26 |