NPI | 1104104199 |
---|---|
Former Name | AIMEE LYNN LAIB FOSTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0053767) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2011-07-26 |
Last Update Date | 2020-04-24 |