NPI | 1023001484 |
---|---|
Former Name | SOENDA E PADMORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2012-01463) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: RI MD11651) |
Enumeration Date | 2005-08-31 |
Last Update Date | 2012-12-07 |