NPI | 1487982559 |
---|---|
Former Name | BROOKLYNE PAGE MARLOWE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 79626) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 079626) |
207R00000X Internal Medicine (Licence: TN 55497) | |
Enumeration Date | 2009-11-30 |
Last Update Date | 2020-11-16 |