NPI | 1003207663 |
---|---|
Former Name | PAMELA ANNE WAX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IL 036171896) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.073689) |
Enumeration Date | 2015-02-17 |
Last Update Date | 2024-11-05 |