NPI | 1104489277 |
---|---|
Former Name | LEA CAITLIN CLAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MN 71507) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 71507) |
Enumeration Date | 2019-04-15 |
Last Update Date | 2024-07-10 |