NPI | 1447499819 |
---|---|
Former Name | BROOKE REITER BAGGENSTOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35-124313) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 56555) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2009-02-09 |
Last Update Date | 2020-11-17 |