NPI | 1922532803 |
---|---|
Former Name | JILL SEMPLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S2997) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: TX S2997) |
208D00000X General Practice (Licence: TX S2997) | |
Enumeration Date | 2017-04-17 |
Last Update Date | 2021-10-05 |