NPI | 1497702237 |
---|---|
Former Name | CLAIRE ASHBURN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM MD2007-0519) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD417594) |
Enumeration Date | 2006-05-27 |
Last Update Date | 2018-09-07 |