NPI | 1659665297 |
---|---|
Former Name | CHRISTINE ROSE LEBLANC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P6210) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP1-0040990) |
Enumeration Date | 2011-05-31 |
Last Update Date | 2018-09-25 |