| NPI | 1134748650 |
|---|---|
| Former Name | MIRIAM JANELLE-RIENSTRA BAREMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301507707) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2024-09-05 |