NPI | 1245430537 |
---|---|
Former Name | ELLEN BROOKE COWEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 55889) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 255842) |
207R00000X Internal Medicine (Licence: MA 231893) | |
Enumeration Date | 2007-07-24 |
Last Update Date | 2020-09-03 |