| NPI | 1366550030 |
|---|---|
| Professional Name | GRACE ELAINE FOWLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 02003008A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 02003008A) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2009-03-19 |