NPI | 1023153103 |
---|---|
Other Name | HEATHER LEA WOLLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX R5247) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AK 6149) |
208000000X Pediatrics (Licence: AK MD4336) | |
Enumeration Date | 2007-02-20 |
Last Update Date | 2018-10-23 |