NPI | 1740491364 |
---|---|
Former Name | MARGUERITE WINSLOW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35090718) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 65013-20) |
207Q00000X Family Medicine (Licence: OH 57010839) | |
207QS0010X Family Medicine, Sports Medicine (Licence: OK 27596) | |
Enumeration Date | 2007-05-25 |
Last Update Date | 2022-01-25 |