NPI | 1992067466 |
---|---|
Former Name | ELISA OLIVER MCDANIEL GEORGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: FL me123919) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R73273) |
207R00000X Internal Medicine (Licence: FL ME123919) | |
Enumeration Date | 2012-06-11 |
Last Update Date | 2019-02-06 |