NPI | 1063663102 |
---|---|
Former Name | ERIN MARIE BRANDL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WY 16319A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 50126) |
207R00000X Internal Medicine (Licence: WY TL7953) | |
Enumeration Date | 2008-10-07 |
Last Update Date | 2023-12-27 |