| NPI | 1578765764 |
|---|---|
| Former Name | NATOSHA DIANE CANTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 077236) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL ME98556) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2022-03-08 |