| NPI | 1326369893 |
|---|---|
| Former Name | AUNDREA SHANAE EASON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: SC 32659) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 32659) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2018-08-13 |