NPI | 1679150650 |
---|---|
Former Name | ELYSE LYNNETTE MCBRIDE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 86208) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 31619) |
207R00000X Internal Medicine (Licence: MN 72267) | |
Enumeration Date | 2021-03-26 |
Last Update Date | 2025-10-06 |