NPI | 1558332932 |
---|---|
Former Name | JOAN M GO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 01012400051) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA 41667) |
Enumeration Date | 2006-02-01 |
Last Update Date | 2009-06-25 |