NPI | 1144246331 |
---|---|
Former Name | ADRIANE CROSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: VT 042-0012540) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 239668) |
Enumeration Date | 2006-07-14 |
Last Update Date | 2013-05-16 |