NPI | 1083277834 |
---|---|
Former Name | KAYLA JEAN POCHOP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: SD 15256) |
Additional Taxonomies | 207ZD0900X Pathology Dermatopathology (Licence: SD 15256) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-04-17 |
Last Update Date | 2024-09-19 |