NPI | 1114241130 |
---|---|
Former Name | VERONICA PRICILLIA WASHINGTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 18235) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA MD.205862) |
207Q00000X Family Medicine (Licence: LA MD.205862) | |
Enumeration Date | 2010-03-19 |
Last Update Date | 2018-12-10 |