| NPI | 1477653673 |
|---|---|
| Former Name | ELIZABETH DENISE GALLEGOS-FARHAT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207U00000X Nuclear Medicine (Licence: LA 13364R) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA g069197) |
| 207R00000X Internal Medicine (Licence: FL me0070878) | |
| 207U00000X Nuclear Medicine (Licence: MS 16977) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2011-04-21 |