NPI | 1649423914 |
---|---|
Former Name | BREE ANN PARKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0051628) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 7154764-1205) |
Enumeration Date | 2008-10-29 |
Last Update Date | 2022-07-21 |