NPI | 1093276891 |
---|---|
Former Name | KALEE JANIECE FOSTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S7509) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX S7509) |
207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: TX S7509) | |
Enumeration Date | 2019-03-26 |
Last Update Date | 2023-09-07 |