NPI | 1114589900 |
---|---|
Former Name | KANA MAEJI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI DOS-2400) |
Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: HI DOS-2400) |
207Q00000X Family Medicine (Licence: HI DOSR-492) | |
Enumeration Date | 2019-07-02 |
Last Update Date | 2025-04-30 |