NPI | 1164494605 |
---|---|
Former Name | MAUREEN A CLOTHIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: WA OP 60343920) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OH 34007976C) |
Enumeration Date | 2006-02-07 |
Last Update Date | 2013-07-30 |