NPI | 1861658650 |
---|---|
Former Name | LATIA HOLDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS12261) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL OS12261) |
Enumeration Date | 2008-08-01 |
Last Update Date | 2023-07-19 |