NPI | 1093178527 |
---|---|
Former Name | HANNAH FREELAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 53816) |
Additional Taxonomies | 208000000X Pediatrics (Licence: KY 53816) |
Enumeration Date | 2016-04-01 |
Last Update Date | 2021-01-26 |