NPI | 1184890642 |
---|---|
Former Name | CARA ANNE KIRCOS/GLAVIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: MI 4301092944) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301092944) |
Enumeration Date | 2008-05-05 |
Last Update Date | 2023-05-19 |