NPI | 1477727956 |
---|---|
Former Name | BERNADETTE NINA RAMONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MT MED-PHYS-LIC-70279) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM MD2011-006) |
Enumeration Date | 2008-04-16 |
Last Update Date | 2024-03-14 |