NPI | 1093956039 |
---|---|
Former Name | SHARON LEE LEE LONDO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS 12648) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101020198) |
Enumeration Date | 2009-03-22 |
Last Update Date | 2024-01-17 |