NPI | 1801892328 |
---|---|
Former Name | ANJI A NEWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA 34197) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036107373) |
Enumeration Date | 2005-06-21 |
Last Update Date | 2007-07-09 |