NPI | 1346770211 |
---|---|
Former Name | SHERI STANLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101268618) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT213669) |
Enumeration Date | 2017-06-14 |
Last Update Date | 2021-11-11 |