| 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 |