NPI | 1912389529 |
---|---|
Former Name | NATASHA D'SOUZA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP61077871) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2015-06-19 |
Last Update Date | 2020-08-25 |