NPI | 1104273911 |
---|---|
Other Name | LYDIA ALANA FLIER-FREDERICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 279387) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 268239) |
Enumeration Date | 2016-05-22 |
Last Update Date | 2019-10-15 |