NPI | 1447415302 |
---|---|
Former Name | SHARON Y WELCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 253148) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 061018) |
Enumeration Date | 2008-07-21 |
Last Update Date | 2012-11-27 |