NPI | 1487880126 |
---|---|
Former Name | WACHOVIA CHANTA' RIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA COVID19-TMP-211) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT013286) |
207Q00000X Family Medicine (Licence: SC 51870) | |
208D00000X General Practice (Licence: PA OT013286) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2009-06-09 |
Last Update Date | 2022-01-06 |