NPI | 1629068440 |
---|---|
Former Name | ROBIN BETH SHEPARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 62030) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 25226) |
Enumeration Date | 2005-10-24 |
Last Update Date | 2024-11-01 |