NPI | 1366604936 |
---|---|
Former Name | SANDRA HARRIET KAMHOLZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A116743) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT192547) |
207R00000X Internal Medicine (Licence: PA MD440656) | |
Enumeration Date | 2008-06-25 |
Last Update Date | 2011-06-15 |