NPI | 1295174076 |
---|---|
Former Name | HEATHER MARIE SIRKO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MI 4301109320) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 58087) |
Enumeration Date | 2013-06-14 |
Last Update Date | 2021-02-25 |