NPI | 1164776837 |
---|---|
Former Name | DEE ANN CHAPMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 9300692) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 14901) |
Enumeration Date | 2012-11-02 |
Last Update Date | 2012-11-02 |