NPI | 1740484229 |
---|---|
Former Name | ANDREA HAVENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TN 44153) |
Enumeration Date | 2007-06-11 |
Last Update Date | 2022-03-31 |