NPI | 1932363447 |
---|---|
Former Name | KATHLEEN BENEDICTA WREN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036121454) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036121454) |
Enumeration Date | 2008-07-14 |
Last Update Date | 2012-05-31 |