NPI | 1144849241 |
---|---|
Other Name | DELAENA RA'SHAE CLINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: VA 0101274027) |
Additional Taxonomies | 208D00000X General Practice (Licence: TX BP10070536) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-04-09 |
Last Update Date | 2022-06-20 |