NPI | 1982199287 |
---|---|
Former Name | JOYA ANTHONY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2021031387) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036164946) |
Enumeration Date | 2018-06-28 |
Last Update Date | 2023-08-01 |