NPI | 1548765431 |
---|---|
Former Name | DELLA MARIE HUFFMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0065933) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT018479) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-03-24 |
Last Update Date | 2021-06-16 |