NPI | 1205025996 |
---|---|
Former Name | MARIA DELIE TY JUMAGDAO (SAKAI) |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA A96657) |
Enumeration Date | 2007-10-17 |
Last Update Date | 2011-06-21 |