NPI | 1841404217 |
---|---|
Former Name | STACY LAURA ZWICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MI 5101016934) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101016934) |
Enumeration Date | 2007-05-09 |
Last Update Date | 2022-09-09 |