NPI | 1881896629 |
---|---|
Former Name | JILL ALISON TREMBLAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD13193) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP01180) |
Enumeration Date | 2007-06-04 |
Last Update Date | 2012-03-15 |