NPI | 1073610945 |
---|---|
Other Name | LORAH MACINTOSH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101011162) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI LW011162) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2008-05-20 |