NPI | 1356386437 |
---|---|
Former Name | LEAH J BEVERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: MT 11047) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MT 11047) |
Enumeration Date | 2006-06-20 |
Last Update Date | 2022-07-21 |