NPI | 1598750614 |
---|---|
Former Name | JOYCE A GAMMILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM 87-277) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM 87277) |
207Q00000X Family Medicine (Licence: TX G8379) | |
Enumeration Date | 2005-09-14 |
Last Update Date | 2012-11-26 |