NPI | 1922298579 |
---|---|
Former Name | SAULETTE RAQUEL QUEEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX M6361) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M6361) |
Enumeration Date | 2007-07-30 |
Last Update Date | 2021-07-30 |