NPI | 1659750545 |
---|---|
Former Name | MALLORY ROHALD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R6166) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: TX R6166) |
Enumeration Date | 2015-05-25 |
Last Update Date | 2021-09-13 |