NPI | 1053596395 |
---|---|
Former Name | DOROTHEA CLAYTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A103688) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-048954) |
Enumeration Date | 2008-01-06 |
Last Update Date | 2018-07-11 |