NPI | 1487073110 |
---|---|
Former Name | HILLERY HALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 82342) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0102203694) |
208M00000X Hospitalist (Licence: GA 82342) | |
Enumeration Date | 2014-04-09 |
Last Update Date | 2021-05-04 |