NPI | 1700998309 |
---|---|
Former Name | CECILY S DVORAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 01011235692) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101235692) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2025-03-06 |