NPI | 1912095340 |
---|---|
Former Name | SHEENA ROCHELLE HALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M5981) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL MD.27337) |
Enumeration Date | 2006-10-11 |
Last Update Date | 2024-09-11 |