NPI | 1295117828 |
---|---|
Former Name | AMY LORRAINE BOXER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 30774) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 7441) |
Enumeration Date | 2015-06-19 |
Last Update Date | 2018-06-05 |