NPI | 1215430053 |
---|---|
Former Name | MARY BRIDGET CONNOLLY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MT MED-PHYS-LIC-143151) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MT MED-PHYS-LIC-143151) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-03-16 |
Last Update Date | 2024-07-02 |