NPI | 1487974200 |
---|---|
Former Name | ANNA HALSE-STUMBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101251244) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0116022447) |
Enumeration Date | 2010-06-03 |
Last Update Date | 2020-09-03 |