NPI | 1588930358 |
---|---|
Former Name | ALYSSA CATHERINE RAMMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2016014398) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2012-03-27 |
Last Update Date | 2018-03-17 |