NPI | 1699356428 |
---|---|
Former Name | LETICIA CARDOSO DO NASCIMENTO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME159028) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2021-04-14 |
Last Update Date | 2024-10-17 |