NPI | 1437112562 |
---|---|
Former Name | DEBORAH LEANNE BISHOP-BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME132747) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 35095) |
Enumeration Date | 2006-04-10 |
Last Update Date | 2018-03-17 |