NPI | 1548421720 |
---|---|
Former Name | REBECCA ANNE WARREN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 061374) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.098025) |
207R00000X Internal Medicine (Licence: NY 278200) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 57017131) | |
Enumeration Date | 2008-06-20 |
Last Update Date | 2022-11-07 |