NPI | 1962778118 |
---|---|
Former Name | ALYSON ADRIANA MCGHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NC 201600412) |
Enumeration Date | 2012-03-31 |
Last Update Date | 2023-12-05 |