| NPI | 1639481385 |
|---|---|
| Former Name | JACQUELINE O KING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI MD-22306) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 15976) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NV 15976) | |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2023-10-03 |