NPI | 1528229549 |
---|---|
Former Name | DENA G EDGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 080154) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 154824) |
208M00000X Hospitalist (Licence: ME MD22577) | |
Enumeration Date | 2008-06-23 |
Last Update Date | 2022-01-10 |