NPI | 1528715893 |
---|---|
Former Name | DAWN ANN WRIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: VA 0101280025) |
Additional Taxonomies | 171000000X Military Health Care Provider (Licence: VA 0101280025) |
Enumeration Date | 2022-03-07 |
Last Update Date | 2024-07-10 |