NPI | 1477086288 |
---|---|
Former Name | TESS BARIL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: MN 67174) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 67174) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-04-07 |
Last Update Date | 2021-10-25 |