NPI | 1659628857 |
---|---|
Former Name | JEANENE HILLARY GABRIEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P8082) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX P8082) |
Enumeration Date | 2012-08-07 |
Last Update Date | 2016-11-08 |