NPI | 1194776831 |
---|---|
Former Name | MARTHA ANNE YEARY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 33351) |
Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: KY 33351) |
Enumeration Date | 2006-05-15 |
Last Update Date | 2024-07-29 |