NPI | 1003346644 |
---|---|
Former Name | MESHA M. SHAW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S6041) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 11019501A) |
Enumeration Date | 2017-06-15 |
Last Update Date | 2025-04-02 |