NPI | 1427042894 |
---|---|
Former Name | ROANNE OSBORNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 73600) |
Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: WI 68515-20) |
Enumeration Date | 2005-08-31 |
Last Update Date | 2025-09-03 |