NPI | 1467602854 |
---|---|
Former Name | ANNA LEE GLOVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: AL 31056) |
Additional Taxonomies | 208D00000X General Practice (Licence: GA 061678) |
207R00000X Internal Medicine (Licence: AL 31056) | |
Enumeration Date | 2008-09-23 |
Last Update Date | 2015-11-18 |