| NPI | 1851827190 |
|---|---|
| Former Name | GEORGIA WHEELDON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 303297) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VT 042-0015946) |
| 208000000X Pediatrics (Licence: NY 303297) | |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2022-08-23 |