NPI | 1053543710 |
---|---|
Former Name | DAREE ELAINE RUSSELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2013-01061) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 08093) |
208M00000X Hospitalist (Licence: NC 2013-01061) | |
Enumeration Date | 2009-08-13 |
Last Update Date | 2023-06-05 |