NPI | 1174885396 |
---|---|
Former Name | CHRISTIE ALYCE BATCHELDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA 13244) |
Additional Taxonomies | 171000000X Military Health Care Provider |
207R00000X Internal Medicine (Licence: CA 13244) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: 390200000) | |
Enumeration Date | 2012-06-13 |
Last Update Date | 2022-08-22 |