NPI | 1407423122 |
---|---|
Former Name | ELSA ANN PARR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: MN 72171) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 8999) |
Enumeration Date | 2021-06-10 |
Last Update Date | 2022-12-02 |