NPI | 1265608293 |
---|---|
Former Name | GIOVANNA ELIZABETH CHUG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q0185) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036129705) |
Enumeration Date | 2008-04-30 |
Last Update Date | 2023-12-17 |