NPI | 1043478480 |
---|---|
Former Name | CHARISSE ESTESS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R3201) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D72376) |
Enumeration Date | 2008-05-31 |
Last Update Date | 2022-01-13 |