NPI | 1871721829 |
---|---|
Former Name | AMBER BETHANY FLECHAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2011-01786) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 157120) |
Enumeration Date | 2009-06-29 |
Last Update Date | 2021-05-06 |