NPI | 1326280769 |
---|---|
Former Name | SHARI MARIE VANDYKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: ID O0945) |
Enumeration Date | 2009-03-31 |
Last Update Date | 2017-12-28 |