NPI | 1609037654 |
---|---|
Former Name | JULIE-LEE PINEIRO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OT012668) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT012668) |
207Q00000X Family Medicine (Licence: PA OS015684) | |
Enumeration Date | 2008-06-23 |
Last Update Date | 2012-01-31 |