NPI | 1962643932 |
---|---|
Former Name | CAROLYN RUTH BUXTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID M-14676) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 038697) |
Enumeration Date | 2009-03-20 |
Last Update Date | 2025-06-04 |