NPI | 1386804342 |
---|---|
Former Name | SALOME SUTTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX AP142342) |
Additional Taxonomies | 171W00000X Contractor |
Enumeration Date | 2008-06-13 |
Last Update Date | 2022-04-07 |