NPI | 1730155698 |
---|---|
Former Name | BRENNA C BOUNDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 161155) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 161155) |
Enumeration Date | 2006-02-28 |
Last Update Date | 2012-12-12 |