NPI | 1215427687 |
---|---|
Former Name | JOANNE E ARESTY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX S3445) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10063988) |
Enumeration Date | 2018-05-11 |
Last Update Date | 2022-08-31 |