NPI | 1114187648 |
---|---|
Former Name | JODIE KAY HAMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR-54111) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA R-9579) |
Enumeration Date | 2008-06-09 |
Last Update Date | 2015-08-31 |