NPI | 1497998660 |
---|---|
Former Name | VANESSA RAE KIZZIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OR DO158135) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207R00000X Internal Medicine (Licence: OR PG156163) | |
207R00000X Internal Medicine (Licence: OR DO158135) | |
Enumeration Date | 2009-04-16 |
Last Update Date | 2015-06-26 |