NPI | 1023019015 |
---|---|
Former Name | NEFRETITI MER-EN-RA GARRISON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2011012785) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2011012785) |
Enumeration Date | 2005-08-02 |
Last Update Date | 2021-02-23 |