NPI | 1073786778 |
---|---|
Former Name | HEATHER MARIE DOYLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: VT 0420012162) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2008-04-02 |
Last Update Date | 2011-06-13 |