NPI | 1952862500 |
---|---|
Former Name | VANESSA SENG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 125073656) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.073656) |
Enumeration Date | 2019-03-27 |
Last Update Date | 2023-08-17 |