NPI | 1457849614 |
---|---|
Former Name | CLAIRE STALEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D91491) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC LL52733) |
207Q00000X Family Medicine (Licence: MD D91491) | |
Enumeration Date | 2018-04-24 |
Last Update Date | 2022-11-14 |