NPI | 1851746762 |
---|---|
Former Name | CLARA A ABBEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.139451) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60938576) |
Enumeration Date | 2016-04-28 |
Last Update Date | 2022-02-28 |