NPI | 1073833364 |
---|---|
Former Name | LYDIA BARTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 2820) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0116022586) |
207Q00000X Family Medicine (Licence: SC 36172) | |
Enumeration Date | 2010-06-09 |
Last Update Date | 2015-08-21 |