NPI | 1114169638 |
---|---|
Former Name | ELIZABETH WILSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301510378) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 262338) |
208M00000X Hospitalist (Licence: CO 51246) | |
Enumeration Date | 2009-03-30 |
Last Update Date | 2023-11-30 |