NPI | 1538554282 |
---|---|
Former Name | ABBIE LEE RAYMOND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036.146081) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125066236) |
207R00000X Internal Medicine (Licence: IL 036.146081) | |
208M00000X Hospitalist (Licence: SC 83473) | |
Enumeration Date | 2015-03-31 |
Last Update Date | 2021-05-20 |