NPI | 1053602060 |
---|---|
Former Name | AIMEE BETH FALARDEAU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR0053369) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2011-04-25 |
Last Update Date | 2015-05-21 |