NPI | 1558473744 |
---|---|
Former Name | AMY HELEN MARINOV |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 32068) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD00047653) |
207Q00000X Family Medicine (Licence: WA 47653) | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2021-03-30 |