NPI | 1649707456 |
---|---|
Former Name | ERICA SIMONE GABRIEL TUKIAINEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA A158514) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A158514) |
Enumeration Date | 2017-05-11 |
Last Update Date | 2025-01-02 |