NPI | 1447363890 |
---|---|
Former Name | IRMA E URRUTIA POTTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 59168) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME142031) |
207Q00000X Family Medicine (Licence: IL 036112375) | |
Enumeration Date | 2006-08-17 |
Last Update Date | 2022-09-22 |