NPI | 1902804669 |
---|---|
Former Name | SHERYL PAGELER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 51544) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2013-0932) |
207R00000X Internal Medicine (Licence: NY 186484) | |
Enumeration Date | 2005-07-07 |
Last Update Date | 2020-04-08 |