NPI | 1669817839 |
---|---|
Former Name | SHARON RUTH WEEKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: MD D89760) |
Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101258754) |
Enumeration Date | 2013-05-01 |
Last Update Date | 2020-08-04 |