NPI | 1295040855 |
---|---|
Former Name | THERASE ANGELICA V. FERMO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301095835) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SD 8816) |
Enumeration Date | 2010-08-06 |
Last Update Date | 2016-07-20 |