NPI | 1184184509 |
---|---|
Former Name | VICTORIA MOTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS021955) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2019-03-21 |
Last Update Date | 2022-09-02 |