| NPI | 1821197377 |
|---|---|
| Former Name | KIRONDA OWENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C169115) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 051704) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2021-03-23 |