NPI | 1023643996 |
---|---|
Former Name | DANIELLA LENT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: IL 125.077360) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.077360) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-03-11 |
Last Update Date | 2022-06-25 |