NPI | 1780886770 |
---|---|
Other Name | ETHELDREDA LANCASTER COLLINS - BAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 26038) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 200400317) |
207R00000X Internal Medicine (Licence: MI 4301093879) | |
Enumeration Date | 2007-06-03 |
Last Update Date | 2012-01-31 |