NPI | 1164458295 |
---|---|
Former Name | DONA RAE DUNKIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34-006481) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101016681) |
Enumeration Date | 2006-06-23 |
Last Update Date | 2013-05-06 |