NPI | 1346533528 |
---|---|
Former Name | AILEEN TRETO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME136052) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 52424) |
207Q00000X Family Medicine (Licence: SC 33909) | |
207V00000X Obstetrics & Gynecology (Licence: FL ME136052) | |
Enumeration Date | 2011-05-23 |
Last Update Date | 2024-09-24 |