NPI | 1053315325 |
---|---|
Former Name | ANDREA MARY DEMRICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301070152) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: MI 4301070152) |
Enumeration Date | 2005-06-02 |
Last Update Date | 2009-03-18 |