NPI | 1134350770 |
---|---|
Former Name | COURTNEY A SHOURT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MN 53190) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 53190) |
Enumeration Date | 2009-07-30 |
Last Update Date | 2020-08-11 |