| NPI | 1457564734 |
|---|---|
| Former Name | VALDELINE IRMA PHOEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME113499) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WV 23695) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2018-09-24 |