NPI | 1306008008 |
---|---|
Other Name | JOAN ROBIA FETTY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WY 11734A) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT204053) |
208600000X Surgery (Licence: GA 002959) | |
Enumeration Date | 2008-06-25 |
Last Update Date | 2018-09-28 |