| NPI | 1467659227 |
|---|---|
| Former Name | ADRIENNE LYNNE MAROLD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CT 053396) |
| Additional Taxonomies | 171000000X Military Health Care Provider |
| 207Q00000X Family Medicine (Licence: PA MD438274) | |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2014-10-08 |