NPI | 1578768727 |
---|---|
Former Name | JOANNA MILLER PELOQUIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D72487) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0072487) |
Enumeration Date | 2007-06-18 |
Last Update Date | 2016-09-14 |