NPI | 1417194614 |
---|---|
Former Name | DEANNA LYNN KASPERSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A101349) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 048811) |
Enumeration Date | 2009-01-10 |
Last Update Date | 2017-06-06 |