NPI | 1659647493 |
---|---|
Former Name | MARGARET ROSE WESSLING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2012020337) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2012020337) |
Enumeration Date | 2012-03-27 |
Last Update Date | 2018-02-23 |