NPI | 1790916245 |
---|---|
Former Name | LATANIA YVETTE BOTLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P4143) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: HI MD-22180) |
Enumeration Date | 2009-07-31 |
Last Update Date | 2023-05-31 |