| NPI | 1306829890 |
|---|---|
| Former Name | MARIE LORETTA MALCOLM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 34635) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 46432) |
| 207R00000X Internal Medicine (Licence: SC 34635) | |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2015-03-10 |