NPI | 1578084505 |
---|---|
Former Name | ANGELICA UYKIM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI MD-20854) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: HI MDR-7376) |
Enumeration Date | 2017-06-29 |
Last Update Date | 2020-08-17 |