NPI | 1093765000 |
---|---|
Former Name | JOANNE JANICE MURREN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: FL ME79969) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME79969) |
Enumeration Date | 2006-05-11 |
Last Update Date | 2015-10-16 |