NPI | 1649333600 |
---|---|
Former Name | ANNA LOWELL GIBB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 044724) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 234053) |
207R00000X Internal Medicine (Licence: MA 044724) | |
208000000X Pediatrics (Licence: MA 234053) | |
208000000X Pediatrics (Licence: MA 044724) | |
208000000X Pediatrics (Licence: CT 044724) | |
Enumeration Date | 2006-12-19 |
Last Update Date | 2022-11-07 |