NPI | 1780067355 |
---|---|
Former Name | ALOIYA EARL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: KY TP557) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL MD37004) |
207QS0010X Family Medicine, Sports Medicine (Licence: OH 35.136618) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-07-01 |
Last Update Date | 2023-05-18 |