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 |