NPI | 1376743781 |
---|---|
Former Name | ASHLEY DIANE MERCIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine (Licence: VA 0102205936) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX N8926) |
Enumeration Date | 2007-07-23 |
Last Update Date | 2022-03-17 |