NPI | 1770921686 |
---|---|
Former Name | AVERY L. WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 271715) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 255342) |
Enumeration Date | 2013-06-13 |
Last Update Date | 2017-10-03 |