NPI | 1972184034 |
---|---|
Former Name | YARDLEY ETIENNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD61640347) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2021-04-19 |
Last Update Date | 2025-01-29 |