| NPI | 1811554108 |
|---|---|
| Former Name | SERENA LAWRENCE MCGILL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX T7524) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10068874) |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2022-06-21 |