NPI | 1679139869 |
---|---|
Former Name | DAIVA MARILYN GERBEC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RS0010X Internal Medicine Sports Medicine (Licence: WV 34339) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD477553) |
Enumeration Date | 2019-05-14 |
Last Update Date | 2024-10-04 |