NPI | 1578092268 |
---|---|
Former Name | ELIZABETH TARTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: KY 52884) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 52884) |
Enumeration Date | 2017-06-07 |
Last Update Date | 2024-12-14 |