NPI | 1891981213 |
---|---|
Former Name | VANESSA MATUOD EVARDONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL 34638) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 47553) |
207R00000X Internal Medicine (Licence: MA 228683) | |
Enumeration Date | 2007-09-19 |
Last Update Date | 2022-08-23 |