NPI | 1255990198 |
---|---|
Former Name | COLLEEN MCLAUGHLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 77335) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 7516) |
Enumeration Date | 2019-06-12 |
Last Update Date | 2025-03-17 |