NPI | 1720661994 |
---|---|
Former Name | CHRISTELLE ANAIS YAKANA MOYINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX V3143) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2021-05-04 |
Last Update Date | 2025-04-01 |