NPI | 1841795812 |
---|---|
Former Name | MYRA KILLEEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0066750) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0066750) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-03-29 |
Last Update Date | 2021-09-27 |