NPI | 1366732372 |
---|---|
Former Name | MARY T SALE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0072420) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NM MD2014-0931) |
Enumeration Date | 2011-04-11 |
Last Update Date | 2024-06-09 |