NPI | 1962583716 |
---|---|
Other Name | MARIE MATTHEWS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0044717) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 44717) |
Enumeration Date | 2006-10-18 |
Last Update Date | 2020-07-06 |