NPI | 1437215001 |
---|---|
Former Name | RATIDZAI MASUNUNGURE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080A0000X Pediatrics Adolescent Medicine (Licence: WI 41265) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 41265) |
Enumeration Date | 2006-12-28 |
Last Update Date | 2022-05-19 |