| NPI | 1316168628 |
|---|---|
| Former Name | GINA GRACE WARDYN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NE 27190) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.095058) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2023-03-07 |