NPI | 1144481755 |
---|---|
Former Name | AMBER YVONNE LAWRENCE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 71623) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A61910) |
Enumeration Date | 2008-06-17 |
Last Update Date | 2024-06-21 |