| NPI | 1174742043 |
|---|---|
| Former Name | MARY BAILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101053031) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: VA 0101053031) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: VA 0101053031) | |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2018-10-29 |