NPI | 1992155741 |
---|---|
Former Name | LINDSAY MARIE BREWSTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2018021677) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125069133) |
Enumeration Date | 2016-06-13 |
Last Update Date | 2024-04-17 |