NPI | 1083118459 |
---|---|
Former Name | KELLEY ROJAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME147661) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2018-03-21 |
Last Update Date | 2021-06-16 |