NPI | 1265636757 |
---|---|
Former Name | DORSEY THORLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 46408) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TN 46408) |
Enumeration Date | 2007-06-11 |
Last Update Date | 2021-09-28 |