NPI | 1922549278 |
---|---|
Former Name | ALYSE ELIZABETH WHEELOCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 292465) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 292465) |
Enumeration Date | 2017-03-19 |
Last Update Date | 2023-06-21 |