NPI | 1962473769 |
---|---|
Former Name | KOREN DINGEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX L4802) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX L4802) |
208M00000X Hospitalist (Licence: TX L4802) | |
Enumeration Date | 2006-01-30 |
Last Update Date | 2023-08-15 |