NPI | 1609370758 |
---|---|
Former Name | MEGAN ELUZABETH BORASE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME142187) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN26793) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME142187) | |
Enumeration Date | 2018-03-22 |
Last Update Date | 2024-08-29 |