NPI | 1174725071 |
---|---|
Former Name | JANELL MARIE ALDEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A119544) |
Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: CA A119544) |
Enumeration Date | 2007-06-03 |
Last Update Date | 2015-06-09 |