NPI | 1639141724 |
---|---|
Former Name | RITA SLATER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 2731) |
Additional Taxonomies | 208D00000X General Practice (Licence: OK 2731) |
Enumeration Date | 2006-02-03 |
Last Update Date | 2020-02-03 |