NPI | 1104838945 |
---|---|
Former Name | JANET BURTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-10813) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO R9D62) |
207Q00000X Family Medicine (Licence: MO R9D62) | |
Enumeration Date | 2006-08-12 |
Last Update Date | 2022-07-21 |