NPI | 1902935950 |
---|---|
Former Name | HOLLY SUSAN NORROD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 236222) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 128388) |
Enumeration Date | 2007-03-05 |
Last Update Date | 2015-11-20 |