NPI | 1629185012 |
---|---|
Former Name | BRIDGET ALAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C55162) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 43808) |
Enumeration Date | 2006-08-23 |
Last Update Date | 2018-09-11 |