NPI | 1245386879 |
---|---|
Former Name | ELIZABETH MARY RILEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CO 47625) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 47625) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL-1961) | |
Enumeration Date | 2007-01-26 |
Last Update Date | 2016-12-15 |