NPI | 1861417271 |
---|---|
Former Name | HEATHER M. BUCHANAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 4376) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 4376) |
Enumeration Date | 2006-07-13 |
Last Update Date | 2010-01-25 |