NPI | 1780261529 |
---|---|
Former Name | COURTNEY-LYNN VICTORIA HARVEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.149485) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2021-03-26 |
Last Update Date | 2024-09-09 |