| NPI | 1679919971 |
|---|---|
| Former Name | PRISCILLA GIVENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 322083) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME133027) |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2020-06-22 |