NPI | 1417190752 |
---|---|
Professional Name | ELISE MICHELLE MCCORMACK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME116563) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD038046) |
207R00000X Internal Medicine (Licence: RI MD13250) | |
Enumeration Date | 2009-04-16 |
Last Update Date | 2022-07-20 |