NPI | 1073877981 |
---|---|
Former Name | ABBIE LEIGH MERRIFIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS017147) |
Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: PA OS017147) |
Enumeration Date | 2012-06-26 |
Last Update Date | 2022-03-29 |