NPI | 1104203702 |
---|---|
Former Name | JULIA CAROLINE WINGATE MCNEIL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 20155) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2015-05-03 |
Last Update Date | 2019-12-25 |