NPI | 1215126552 |
---|---|
Former Name | AMELITA ANNE CALEJESAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301101920) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01063981A) |
Enumeration Date | 2007-10-23 |
Last Update Date | 2012-11-27 |