NPI | 1982916995 |
---|---|
Former Name | ELIZABETH LYNN WINK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E7359) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 04-40182) |
Enumeration Date | 2010-07-07 |
Last Update Date | 2023-01-18 |