| NPI | 1245434802 |
|---|---|
| Former Name | ANGELA RACQUEL GARDNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N3660) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP1-0024638) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2022-02-01 |