NPI | 1528455458 |
---|---|
Former Name | MONICA DENICE WEEKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: GA 81054) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2015-04-17 |
Last Update Date | 2019-07-19 |