NPI | 1396796132 |
---|---|
Former Name | WENDY L LARSON PELTIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: WI 37905) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 37905) |
Enumeration Date | 2006-05-15 |
Last Update Date | 2019-05-02 |