NPI | 1285683524 |
---|---|
Former Name | ELIZABETH GAY FOLLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: CA G88561) |
Additional Taxonomies | 208D00000X General Practice (Licence: NC 01215) |
208D00000X General Practice (Licence: AL 33710) | |
208D00000X General Practice (Licence: FL ME70101) | |
Enumeration Date | 2006-05-05 |
Last Update Date | 2015-06-22 |