NPI | 1003228727 |
---|---|
Former Name | CARRIE ANNE COXWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A162523) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL MD34724) |
207Q00000X Family Medicine (Licence: AL L4013R) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-05-29 |
Last Update Date | 2020-10-28 |