NPI | 1497863005 |
---|---|
Former Name | COURTNEY ROSE WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA 00037773) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD00037773) |
Enumeration Date | 2006-08-25 |
Last Update Date | 2020-10-01 |