NPI | 1497717748 |
---|---|
Former Name | JENNIFER A BEART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C55872) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00044340) |
Enumeration Date | 2006-04-03 |
Last Update Date | 2024-04-17 |