NPI | 1881898542 |
---|---|
Former Name | PENNY S STANLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME131144) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 38753) |
207R00000X Internal Medicine (Licence: KY 40872) | |
Enumeration Date | 2007-06-14 |
Last Update Date | 2019-01-25 |