NPI | 1134659246 |
---|---|
Former Name | CARA WIEST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 257712) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 257712) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 271958) | |
Enumeration Date | 2017-06-13 |
Last Update Date | 2023-06-05 |