NPI | 1134367139 |
---|---|
Former Name | AYE A OO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD d0069859) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA a109945) |
Enumeration Date | 2009-01-28 |
Last Update Date | 2014-10-09 |