| NPI | 1871666214 |
|---|---|
| Former Name | JOAN YVONNE CROSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS 9954) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: FL OS9954) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2021-11-04 |