NPI | 1164561353 |
---|---|
Former Name | PAMELA ROSE GARNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS19486) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A2012777) |
207Q00000X Family Medicine (Licence: OK 4409) | |
Enumeration Date | 2007-02-05 |
Last Update Date | 2023-02-16 |