NPI | 1124086020 |
---|---|
Former Name | MILTONIA HARVEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 76541) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 196867) |
Enumeration Date | 2006-05-02 |
Last Update Date | 2020-02-11 |