NPI | 1619239308 |
---|---|
Former Name | MAIRIN JOSEPH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX T2190) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A142295) |
207R00000X Internal Medicine (Licence: RI LP03249) | |
207R00000X Internal Medicine (Licence: MA 252764) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-06-09 |
Last Update Date | 2021-07-08 |