NPI | 1962673657 |
---|---|
Former Name | ALLISON VALENTINE LAXTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 201300757) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA 325134) |
Enumeration Date | 2008-03-20 |
Last Update Date | 2024-12-11 |