NPI | 1447781133 |
---|---|
Former Name | BETHANY JOHANNA RIST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OR MD188034) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD188034) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: OR MD188034) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-03-23 |
Last Update Date | 2023-06-29 |