NPI | 1740784727 |
---|---|
Former Name | INSIA SUTERIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MT214954) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: TX T0801) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-03-22 |
Last Update Date | 2024-11-26 |