NPI | 1104955376 |
---|---|
Former Name | ALISON ANNA HEARN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D69813) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C1-0008847) |
Enumeration Date | 2007-03-05 |
Last Update Date | 2009-10-08 |