| NPI | 1902928948 |
|---|---|
| Former Name | ANNE LAJEAN GARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P9069) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 52650-020) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2023-06-12 |