NPI | 1609800374 |
---|---|
Professional Name | MONICA STALLWORTH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD468336) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 216220) |
284300000X Special Hospital (Licence: MD D0052781) | |
Enumeration Date | 2006-07-10 |
Last Update Date | 2022-12-20 |