NPI | 1235285206 |
---|---|
Former Name | PAULA MARIA GREGG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 277961) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 043145) |
Enumeration Date | 2007-01-25 |
Last Update Date | 2023-10-18 |