NPI | 1336229624 |
---|---|
Former Name | JENNIFER COXBILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WY 8167A) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 46065) |
Enumeration Date | 2006-10-17 |
Last Update Date | 2023-03-07 |