NPI | 1275799082 |
---|---|
Former Name | ROXANA RUTH MASSEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR DO155981) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OL60018342) |
Enumeration Date | 2008-07-31 |
Last Update Date | 2012-07-25 |