NPI | 1962992008 |
---|---|
Former Name | EUNICE MODUPE MARTINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA11565000) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA11565000) |
Enumeration Date | 2018-05-15 |
Last Update Date | 2024-01-04 |