NPI | 1508092180 |
---|---|
Former Name | AMELIA SARAH EDELMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD152661) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A107979) |
Enumeration Date | 2009-06-09 |
Last Update Date | 2021-05-06 |