NPI | 1891056388 |
---|---|
Former Name | ROSHEL KATHRYN EGBERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A126823) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A126823) |
Enumeration Date | 2012-05-31 |
Last Update Date | 2021-12-02 |