NPI | 1508216268 |
---|---|
Former Name | DARCY DUBUC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR 214736) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD61369459) |
207Q00000X Family Medicine (Licence: VA 0101263273) | |
Enumeration Date | 2016-06-14 |
Last Update Date | 2024-03-01 |