NPI | 1720495096 |
---|---|
Former Name | SHARON RAYMOND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301504116) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.024124) |
Enumeration Date | 2014-07-17 |
Last Update Date | 2024-06-14 |