NPI | 1053511568 |
---|---|
Former Name | INDIE FAY ROYSTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 061099) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 061099) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2007-07-23 |
Last Update Date | 2020-08-11 |