NPI | 1467019364 |
---|---|
Former Name | KESHEA C DESMORNES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: CO C-APN.0001433-C-NP) |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CO C-APN.0001433-C-NP) |
Enumeration Date | 2019-05-26 |
Last Update Date | 2024-09-05 |