| NPI | 1568575900 |
|---|---|
| Former Name | WENDY BEYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: RI MD12266) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: RI LP00099) |
| 207Q00000X Family Medicine (Licence: MA 237040) | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2016-03-03 |