NPI | 1548754419 |
---|---|
Former Name | MALIA ANNE GUY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR0069167) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 39381) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: AL L.4744) | |
390200000X Student in an Organized Health Care Education/Training Program | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: AL MD.39381) | |
Enumeration Date | 2018-06-14 |
Last Update Date | 2023-08-03 |