NPI | 1548455942 |
---|---|
Former Name | DIANE MARIE PERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MA 234608) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 234608) |
Enumeration Date | 2007-09-09 |
Last Update Date | 2024-03-21 |