NPI | 1780079186 |
---|---|
Former Name | MARY RUSH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.146965) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 52306) |
208000000X Pediatrics (Licence: KY 52306) | |
Enumeration Date | 2015-04-02 |
Last Update Date | 2023-05-05 |