NPI | 1407815483 |
---|---|
Former Name | DOREEN ELIZABETH DEFARIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 225610) |
Enumeration Date | 2006-03-20 |
Last Update Date | 2010-02-24 |