NPI | 1073522595 |
---|---|
Former Name | TERESA KAY O'DOWD/WIMMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 47646) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO 47646) |
Enumeration Date | 2006-08-05 |
Last Update Date | 2013-08-12 |