NPI | 1720061393 |
---|---|
Former Name | ESTHER M. VANDYKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD066348L) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD066348L) |
207Q00000X Family Medicine (Licence: NY 215766-1) | |
Enumeration Date | 2005-11-28 |
Last Update Date | 2011-12-30 |