NPI | 1780979666 |
---|---|
Former Name | LINDSEY ANN SANNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA 4358) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA R-9276) |
Enumeration Date | 2011-06-18 |
Last Update Date | 2014-07-02 |