NPI | 1831584325 |
---|---|
Former Name | FRANCES HARDIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD61157608) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A146331) |
Enumeration Date | 2015-04-01 |
Last Update Date | 2021-09-15 |