NPI | 1992923049 |
---|---|
Former Name | ROGER KENTON BURR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX H6084) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: HI MD-10313) |
Enumeration Date | 2007-04-23 |
Last Update Date | 2024-10-04 |