| NPI | 1497950299 |
|---|---|
| Former Name | EMILY SUSAN CHISM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 59563) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N3478) |
| 207R00000X Internal Medicine (Licence: CA A99734) | |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2022-03-22 |