NPI | 1437383387 |
---|---|
Former Name | ALICIA L. QUINN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME150155) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX P4233) |
207Q00000X Family Medicine (Licence: OK 27123) | |
Enumeration Date | 2009-05-06 |
Last Update Date | 2022-02-18 |