NPI | 1104909167 |
---|---|
Former Name | HERENA SIM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD61213125) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 143187) |
Enumeration Date | 2006-10-23 |
Last Update Date | 2022-07-27 |