NPI | 1912353210 |
---|---|
Former Name | DALYA NICOLE MUNVES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX R8559) |
Additional Taxonomies | 208600000X Surgery (Licence: TX R8559) |
Enumeration Date | 2016-05-05 |
Last Update Date | 2023-09-07 |