NPI | 1528268802 |
---|---|
Former Name | NATASHA GEORGINA TRIFUNOVIC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A115473) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 642-L) |
Enumeration Date | 2007-07-24 |
Last Update Date | 2014-10-28 |