NPI | 1205060605 |
---|---|
Former Name | ANGELA MARIE JUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D74114) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101251017) |
207R00000X Internal Medicine (Licence: DC MD039839) | |
Enumeration Date | 2009-05-13 |
Last Update Date | 2022-02-07 |