NPI | 1609230341 |
---|---|
Former Name | ALANA DAIVA TROTTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 2020-00350) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: KS 04-45122) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-04-08 |
Last Update Date | 2023-11-02 |