NPI | 1174888929 |
---|---|
Former Name | WILLA TONNE-DAIMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 281557) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 281557) |
Enumeration Date | 2012-07-09 |
Last Update Date | 2021-05-11 |