NPI | 1528389863 |
---|---|
Former Name | JULIE ROMBAUT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 257149) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: RI LP01908) |
Enumeration Date | 2010-06-22 |
Last Update Date | 2020-01-15 |