NPI | 1588917009 |
---|---|
Former Name | CLAIRE-ALYCE ROCHELLE ANDREWS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD174040) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60491475) |
Enumeration Date | 2012-10-22 |
Last Update Date | 2015-08-14 |