NPI | 1477179984 |
---|---|
Former Name | SAMANTHA LOUISE STUBBS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX U4055) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2021041272) |
207R00000X Internal Medicine (Licence: MO 2020017122) | |
Enumeration Date | 2020-06-20 |
Last Update Date | 2023-06-12 |