| NPI | 1982916896 |
|---|---|
| Former Name | AUDREY B RICHARDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 50473) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301096247) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2015-03-30 |