NPI | 1033403944 |
---|---|
Former Name | COURTNEY LYN ROSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA DO.000434) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207R00000X Internal Medicine (Licence: AL DO.1315) | |
207R00000X Internal Medicine (Licence: LA DO.000434) | |
Enumeration Date | 2011-06-08 |
Last Update Date | 2018-09-24 |