NPI | 1558685354 |
---|---|
Former Name | JENNIFER SISEMORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: VT 0420012645) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VT 042.0012645) |
Enumeration Date | 2010-03-23 |
Last Update Date | 2014-12-04 |