NPI | 1467763367 |
---|---|
Former Name | SHAUNDRE NICHELLE TERRELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 070054) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 9407501) |
207R00000X Internal Medicine (Licence: GA 070054) | |
Enumeration Date | 2010-06-24 |
Last Update Date | 2019-10-03 |