NPI | 1376886655 |
---|---|
Former Name | BRYNN JENNY LOUISE TAYLOR SMEDRA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A154041) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD173709) |
Enumeration Date | 2013-04-04 |
Last Update Date | 2021-12-21 |