NPI | 1083110613 |
---|---|
Former Name | CIERRA CHANTEL LOHAUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 34.015115) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2018-04-03 |
Last Update Date | 2023-03-06 |