NPI | 1518250174 |
---|---|
Former Name | SOPHIA LOUISE HINES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID MRO1272) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO dr.0055382) |
Enumeration Date | 2011-05-16 |
Last Update Date | 2016-06-17 |