NPI | 1841511698 |
---|---|
Former Name | MANDY JONN FRANKLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 45723) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL TRN 15290) |
Enumeration Date | 2010-06-16 |
Last Update Date | 2015-10-13 |