NPI | 1922494228 |
---|---|
Former Name | DEYANIRA ELIZABETH GALVAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NE 31734) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R8542) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10052478) | |
Enumeration Date | 2015-04-13 |
Last Update Date | 2019-12-23 |