NPI | 1538862388 |
---|---|
Former Name | ANNA CAROLINA ROA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171000000X Military Health Care Provider |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2023-03-22 |
Last Update Date | 2023-08-17 |