NPI | 1083468201 |
---|---|
Former Name | CARA LYNNE PALUSAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: OH 58.034423) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2024-04-15 |
Last Update Date | 2024-08-15 |