| 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 |