NPI | 1750388401 |
---|---|
Former Name | IVY V MCGEE REED |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E2401) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E-2401) |
Enumeration Date | 2005-07-07 |
Last Update Date | 2019-12-05 |