NPI | 1316151251 |
---|---|
Former Name | DARA DANIELA BAGWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101238577) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101238577) |
207RS0012X Internal Medicine, Sleep Medicine (Licence: VA 0101238577) | |
Enumeration Date | 2007-05-10 |
Last Update Date | 2021-05-18 |