NPI | 1558530162 |
---|---|
Former Name | JOYLENE IRIS JOHN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: MD D0052523) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D0052523) |
Enumeration Date | 2008-02-27 |
Last Update Date | 2012-09-05 |