NPI | 1225278955 |
---|---|
Former Name | MARY-ELIZABETH ANSELMO MUCHMORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: WA MD.MD.60591746) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A106581) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A106581) | |
Enumeration Date | 2009-02-20 |
Last Update Date | 2015-10-29 |