NPI | 1376593251 |
---|---|
Former Name | JULIET CATHERINE LILGA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60576012) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 30323) |
Enumeration Date | 2006-05-11 |
Last Update Date | 2018-05-11 |