| NPI | 1649293184 |
|---|---|
| Former Name | DOREEN LYNNETTE VINCENT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY C0707) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: TN 1763) |
| 208M00000X Hospitalist (Licence: TN 1763) | |
| 207Q00000X Family Medicine (Licence: SD 8293) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2023-09-27 |