NPI | 1487067864 |
---|---|
Former Name | DANA MARIE MEYER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0085840) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101264755) |
208000000X Pediatrics (Licence: VA 0101264755) | |
208000000X Pediatrics (Licence: MD D0085840) | |
Enumeration Date | 2014-06-03 |
Last Update Date | 2018-07-03 |