| NPI | 1306041223 |
|---|---|
| Former Name | RASHANNA DENISE WADE-LYNCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 265381-1) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA08716200) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2016-03-23 |