NPI | 1942647839 |
---|---|
Former Name | STELLA LEONORA WINTERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD470928) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX Q3992) |
Enumeration Date | 2013-05-31 |
Last Update Date | 2022-06-23 |