NPI | 1538547336 |
---|---|
Former Name | MIRANDA JOSEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OK 31584) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2015-05-12 |
Last Update Date | 2021-07-09 |