NPI | 1396126710 |
---|---|
Former Name | LYNNIECE A DUNBAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02004919A) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11018352A) |
Enumeration Date | 2015-06-11 |
Last Update Date | 2018-07-13 |