| NPI | 1154309847 |
|---|---|
| Former Name | SUE ELLEN BAUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI 22267) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX L2795) |
| 207RI0200X Internal Medicine Infectious Disease (Licence: TX L2795) | |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2023-03-22 |