NPI | 1326038928 |
---|---|
Former Name | MARCY ALEEN GLEIT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 223416) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 297314) |
207R00000X Internal Medicine (Licence: CT 62293) | |
Enumeration Date | 2005-10-25 |
Last Update Date | 2019-02-06 |