NPI | 1518278449 |
---|---|
Former Name | BIANCA FONTES CAETANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 256900) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: RI LP02095) |
Enumeration Date | 2010-06-25 |
Last Update Date | 2013-09-09 |