NPI | 1104029735 |
---|---|
Former Name | ADRIANA LE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N3132) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036.117278) |
Enumeration Date | 2007-06-10 |
Last Update Date | 2013-11-26 |