NPI | 1235321092 |
---|---|
Former Name | REBECCA NAOMI MCDONALD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 57789) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N0962) |
Enumeration Date | 2007-08-15 |
Last Update Date | 2019-08-19 |