NPI | 1619966900 |
---|---|
Former Name | DEANNA M SILLS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 303786) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD0000031550) |
Enumeration Date | 2005-10-19 |
Last Update Date | 2017-11-15 |