NPI | 1063448652 |
---|---|
Former Name | ELVIRA MARIA BRAMCUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 0054705) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036101367) |
Enumeration Date | 2006-06-24 |
Last Update Date | 2021-04-07 |