NPI | 1992852859 |
---|---|
Former Name | ROSE A ANDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: KY 36624) |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: TN 44163) |
Enumeration Date | 2007-01-04 |
Last Update Date | 2011-08-17 |