| NPI | 1922096205 |
|---|---|
| Former Name | ALICE GWYN MCCORMICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MA 78634) |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2010-07-23 |