| NPI | 1508397894 |
|---|---|
| Former Name | CARISSA MEYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 309189) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2021-03-17 |