NPI | 1952559080 |
---|---|
Former Name | LEAH E MCVAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 30992) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E-7055) |
Enumeration Date | 2008-09-03 |
Last Update Date | 2023-02-10 |