NPI | 1487628848 |
---|---|
Former Name | DANIELLE MARIE RAIMOND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101236827) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0101236827) |
Enumeration Date | 2006-02-14 |
Last Update Date | 2011-12-22 |