NPI | 1760676696 |
---|---|
Former Name | SARA RETSEMA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CT 047440) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 125045772) |
Enumeration Date | 2007-09-04 |
Last Update Date | 2010-02-08 |