| NPI | 1790721777 |
|---|---|
| Former Name | DEMETRA DIANE BARR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME154526) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 28556) |
| 207Q00000X Family Medicine (Licence: CA A63274) | |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2022-05-11 |