| NPI | 1851513055 |
|---|---|
| Former Name | CELIA VIVIAN CHURCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 25380) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 49205) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-10-20 |