| NPI | 1124124870 |
|---|---|
| Former Name | SANDRA ELLEN MCDONALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: LA MD.207289) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IL 036079047) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2024-08-01 |