NPI | 1366482531 |
---|---|
Former Name | ELLEN R SEGAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MA003319L) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA ma003319L) |
Enumeration Date | 2006-06-07 |
Last Update Date | 2010-11-03 |