| NPI | 1497846091 |
|---|---|
| Former Name | CHARLA RAE NEAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID M9369) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00045264) |
| 207R00000X Internal Medicine (Licence: CT 033594) | |
| 207R00000X Internal Medicine (Licence: MD D0056472) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2016-03-07 |