NPI | 1770966137 |
---|---|
Former Name | PAMELA R OLEARY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 125067884) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036144508) |
Enumeration Date | 2015-07-02 |
Last Update Date | 2018-03-17 |