NPI | 1477546539 |
---|---|
Former Name | DIANA LEE DEMPSEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2002019572) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-30347) |
Enumeration Date | 2005-08-24 |
Last Update Date | 2012-12-17 |