NPI | 1104187194 |
---|---|
Former Name | ALYSHA LYNN BREDEMUS-BARTHEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME124902) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2017028755) |
Enumeration Date | 2012-06-06 |
Last Update Date | 2018-01-23 |