NPI | 1104237361 |
---|---|
Former Name | CAROLINE TRUPIA-LASH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0102206219) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR PG167708) |
Enumeration Date | 2014-05-09 |
Last Update Date | 2020-11-23 |