NPI | 1073830998 |
---|---|
Former Name | ASHLEY TEALE TAIT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 36527) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME117070) |
207R00000X Internal Medicine (Licence: SC 36527) | |
Enumeration Date | 2010-05-02 |
Last Update Date | 2016-11-07 |