NPI | 1629139712 |
---|---|
Former Name | CHARLOTTE APPLETON SHEALY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R4806) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 12831) |
207R00000X Internal Medicine (Licence: AK 8654) | |
207R00000X Internal Medicine (Licence: CO 51708) | |
Enumeration Date | 2006-12-12 |
Last Update Date | 2019-11-01 |