NPI | 1952667107 |
---|---|
Former Name | YVONNE NICOLLE WATKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 277018) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q4738) |
Enumeration Date | 2012-04-02 |
Last Update Date | 2021-11-23 |