NPI | 1073956462 |
---|---|
Former Name | JUSTINE BERRAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 284402-1) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2013-04-16 |
Last Update Date | 2019-08-12 |