NPI | 1538264551 |
---|---|
Former Name | TEREESE-YVETTE JEAN MANGAROO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME94249) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME94249) |
Enumeration Date | 2006-09-14 |
Last Update Date | 2022-10-03 |