NPI | 1912088063 |
---|---|
Former Name | MOLLY HELEN WEIDNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME97424) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME97424) |
Enumeration Date | 2006-10-17 |
Last Update Date | 2012-09-17 |