NPI | 1346231347 |
---|---|
Former Name | NANCY R TILSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2013039025) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO R2K27) |
207R00000X Internal Medicine (Licence: KS 04-23033) | |
Enumeration Date | 2005-10-31 |
Last Update Date | 2016-09-06 |