NPI | 1790890754 |
---|---|
Former Name | SUZANNE G BAUMWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MA 228398) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 228398) |
Enumeration Date | 2006-08-20 |
Last Update Date | 2015-09-04 |