NPI | 1215299425 |
---|---|
Former Name | HELEN YORK TRAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME123637) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 182936) |
Enumeration Date | 2012-06-13 |
Last Update Date | 2021-05-20 |