NPI | 1033409297 |
---|---|
Former Name | ASHLEY HADDAD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T1794) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.137947) |
Enumeration Date | 2011-04-08 |
Last Update Date | 2023-03-22 |