NPI | 1164495800 |
---|---|
Former Name | JANINE MICHELL MCASSEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101260989) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD070094L) |
Enumeration Date | 2006-02-13 |
Last Update Date | 2023-12-29 |