NPI | 1427047539 |
---|---|
Former Name | JUDITH EMILY BOWMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD180529) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AK 3425) |
Enumeration Date | 2005-10-20 |
Last Update Date | 2020-05-07 |