| NPI | 1194776344 |
|---|---|
| Former Name | JUDITH BYNUM NANCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-9002) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA MD.14759R) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2018-04-26 |