NPI | 1417123431 |
---|---|
Other Name | WANDA PLUNGKHEN BLANTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 235965) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 235965) |
Enumeration Date | 2008-04-30 |
Last Update Date | 2014-01-13 |