NPI | 1043280159 |
---|---|
Former Name | MILLICENT A KING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NJ MB07492500) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ MB07492500) |
Enumeration Date | 2006-01-23 |
Last Update Date | 2024-03-07 |