NPI | 1740423060 |
---|---|
Former Name | ANDREA CATHERINE CYR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2012-004921) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2009-04-16 |
Last Update Date | 2012-07-02 |