NPI | 1255575379 |
---|---|
Former Name | LISA J DOWNING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: VT 042-0014664) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 269426) |
207QG0300X Family Medicine, Geriatric Medicine (Licence: NY 269426) | |
207QG0300X Family Medicine, Geriatric Medicine (Licence: VT 042-0014664) | |
Enumeration Date | 2009-04-21 |
Last Update Date | 2020-07-28 |