NPI | 1205006186 |
---|---|
Former Name | LETA A HOUSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 40380) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2008-03-06 |
Last Update Date | 2021-06-24 |