NPI | 1902083082 |
---|---|
Former Name | AMBER DELAINE DUNN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N4487) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10021782) |
207Q00000X Family Medicine (Licence: OK 26749) | |
Enumeration Date | 2008-01-30 |
Last Update Date | 2020-05-15 |