NPI | 1891014122 |
---|---|
Former Name | SAMANTHA DANIELSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA MD-40806) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 40806) |
207R00000X Internal Medicine (Licence: IA R-8846) | |
Enumeration Date | 2010-05-26 |
Last Update Date | 2023-12-19 |