NPI | 1497998595 |
---|---|
Former Name | STEPHANIE ADRIANSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A121453) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2009-04-20 |
Last Update Date | 2021-04-23 |