| NPI | 1992723514 |
|---|---|
| Former Name | BETTY SUE ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA G55694) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2014-01-02 |