NPI | 1285891978 |
---|---|
Former Name | STELLA RODRIGUEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN319) |
Additional Taxonomies | 208D00000X General Practice (Licence: PR 17133) |
Enumeration Date | 2008-05-20 |
Last Update Date | 2021-12-13 |