| NPI | 1093151862 |
|---|---|
| Former Name | KATIE MAHALI ROUSSEAU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: UT 12340843-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R4566) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX R4566) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX R4566) | |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2021-09-08 |