NPI | 1730501206 |
---|---|
Former Name | MARIA BERNADETTE BAHENA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NJ 25MA10308100) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD459041) |
207R00000X Internal Medicine (Licence: DE C1-0012501) | |
207R00000X Internal Medicine (Licence: NJ 25MA10308100) | |
208M00000X Hospitalist (Licence: PA MD459041) | |
Enumeration Date | 2014-01-17 |
Last Update Date | 2022-11-09 |