NPI | 1225697451 |
---|---|
Former Name | CHARITY ORRISS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CT 70567) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WY 153-T2) |
Enumeration Date | 2019-06-11 |
Last Update Date | 2024-10-15 |