NPI | 1366568008 |
---|---|
Former Name | ATHENA MAYERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL PA9102679) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9102679) |
Enumeration Date | 2007-03-22 |
Last Update Date | 2024-02-06 |