NPI | 1407923535 |
---|---|
Former Name | MONICA PIERCE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036122276) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2006-11-30 |
Last Update Date | 2022-08-16 |