NPI | 1558628107 |
---|---|
Former Name | SANDRA SAINT-VICTOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TN 58121) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MD D83438) |
Enumeration Date | 2012-04-20 |
Last Update Date | 2018-09-05 |