NPI | 1841609419 |
---|---|
Former Name | CHRISTINE SNYDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WV APRN96628) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA SP014065) |
Enumeration Date | 2014-08-08 |
Last Update Date | 2020-08-12 |