NPI | 1538162664 |
---|---|
Former Name | SONYA L CVERCKO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME90417) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 045437) |
Enumeration Date | 2005-05-23 |
Last Update Date | 2014-02-19 |