NPI | 1578090197 |
---|---|
Former Name | LARISSA SHARMA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD200407) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR PG183186) |
Enumeration Date | 2017-05-12 |
Last Update Date | 2022-12-13 |