NPI | 1992764419 |
---|---|
Former Name | STELLA E. ETUK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX R7720) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 101774) |
207Q00000X Family Medicine (Licence: MN 47645) | |
Enumeration Date | 2006-03-22 |
Last Update Date | 2024-04-11 |