| NPI | 1104021641 |
|---|---|
| Former Name | ANNE MARYJO GRIFFIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA L-232260) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 239799) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2012-02-16 |