NPI | 1528446911 |
---|---|
Former Name | SANDRA DUWAIK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0057545) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO TL0005523) |
Enumeration Date | 2015-05-18 |
Last Update Date | 2023-03-27 |