NPI | 1184691628 |
---|---|
Former Name | MONIKA K WALCZAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MA 213857) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 213857) |
Enumeration Date | 2006-03-03 |
Last Update Date | 2018-08-22 |