| NPI | 1114913555 |
|---|---|
| Other Name | ANNE LORRAINE SULLIVAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN MD47894) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 29526) |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2021-12-09 |