NPI | 1164748471 |
---|---|
Former Name | MARGARET MARICE ROLLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.135002) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60386184) |
Enumeration Date | 2010-04-12 |
Last Update Date | 2014-05-06 |