NPI | 1902846793 |
---|---|
Former Name | DAWN R ANDRES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01051243A) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01051243) |
Enumeration Date | 2006-06-08 |
Last Update Date | 2023-12-20 |