| NPI | 1578797049 |
|---|---|
| Former Name | MARJORIE MAE CONANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MO 2014015768) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: KS 04-37750) |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2021-04-22 |