NPI | 1619933025 |
---|---|
Former Name | MIA WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD036476) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 220494) |
Enumeration Date | 2006-04-25 |
Last Update Date | 2007-12-28 |