NPI | 1295187888 |
---|---|
Former Name | ALICIA JULJENJAI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: ND 17317) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2016-07-06 |
Last Update Date | 2021-10-11 |