| NPI | 1053844241 |
|---|---|
| Former Name | ELIZABETH MARIE REAGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 62677) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: TN 62677) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2024-01-17 |