NPI | 1801358304 |
---|---|
Former Name | KARLIE LINNEA HAUG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 208600000X Surgery (Licence: WI 75543-20) |
Enumeration Date | 2019-04-03 |
Last Update Date | 2024-03-12 |