NPI | 1447690961 |
---|---|
Former Name | ALEXIS ROSE HAUSFELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036.146013) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2013-06-28 |
Last Update Date | 2018-05-20 |