NPI | 1326131806 |
---|---|
Former Name | CLARE MARGUERITE MCCLUGGAGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00045976) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX G9158) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2015-04-06 |