NPI | 1982067971 |
---|---|
Former Name | MARTHE MELANIE BRYANT-GENEVIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: VT 042-0015779) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 82991) |
Enumeration Date | 2016-03-29 |
Last Update Date | 2022-06-01 |