NPI | 1104189315 |
---|---|
Former Name | BRITTANY DEMCO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A120597) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 254061) |
Enumeration Date | 2012-06-21 |
Last Update Date | 2018-06-26 |