NPI | 1508286592 |
---|---|
Former Name | AUDRA ELIZABETH MCCOURY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OH 35.131877) |
Enumeration Date | 2014-04-17 |
Last Update Date | 2019-02-22 |