NPI | 1922036441 |
---|---|
Former Name | SANDRA VALINO DOYLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-116117) |
Additional Taxonomies | 207QB0002X Family Medicine Obesity Medicine (Licence: IL 036116117) |
Enumeration Date | 2006-06-30 |
Last Update Date | 2025-04-07 |