| NPI | 1861713398 |
|---|---|
| Former Name | ROSE A DULANEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2020-03128) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0102203893) |
| 207Q00000X Family Medicine (Licence: KS 7464) | |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2023-12-28 |