NPI | 1538587761 |
---|---|
Former Name | GRETCHEN MICHELLE ELDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101261582) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101261582) |
Enumeration Date | 2014-04-04 |
Last Update Date | 2023-11-02 |