NPI | 1194246256 |
---|---|
Former Name | LAURA DUTKIEWICZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME142907) |
Additional Taxonomies | 286500000X Military Hospital |
Enumeration Date | 2017-06-29 |
Last Update Date | 2024-08-22 |