NPI | 1720422074 |
---|---|
Former Name | AMY LOUISE LITTLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX R4068) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R4068) |
Enumeration Date | 2013-04-17 |
Last Update Date | 2019-08-15 |