NPI | 1093151920 |
---|---|
Former Name | ADRIENNE MARIE LORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q7149) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-05-19 |
Last Update Date | 2017-01-11 |