NPI | 1861683799 |
---|---|
Former Name | SHAWNA E ADOLPHS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60101885) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR LL17327) |
Enumeration Date | 2007-08-06 |
Last Update Date | 2018-02-21 |