NPI | 1770788358 |
---|---|
Former Name | JOY ALYSE MANNING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 4532) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: OK 4532) |
Enumeration Date | 2007-06-15 |
Last Update Date | 2020-10-19 |