| NPI | 1497757041 |
|---|---|
| Former Name | MARTHA J FANNING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2005017819) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2005017819) |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2018-08-08 |