NPI | 1184746877 |
---|---|
Former Name | BOGUSLAWA JADWIGA TOMKIEWICZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 13677) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NH rt-1379) |
Enumeration Date | 2007-04-04 |
Last Update Date | 2020-12-29 |