NPI | 1750502514 |
---|---|
Former Name | RONNA DENISE COMPTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TN 3315) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0102203924) |
207Q00000X Family Medicine (Licence: TN 3315) | |
207QG0300X Family Medicine, Geriatric Medicine (Licence: VA 0102203924) | |
207QG0300X Family Medicine, Geriatric Medicine (Licence: KY 03275) | |
Enumeration Date | 2007-05-01 |
Last Update Date | 2018-03-17 |