NPI | 1336600089 |
---|---|
Former Name | ASHLYN E COURVILLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 335543) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T6525) |
Enumeration Date | 2019-03-26 |
Last Update Date | 2023-08-22 |