NPI | 1821445669 |
---|---|
Former Name | KAYLA JEAN RENIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301119413) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301119413) |
Enumeration Date | 2016-05-23 |
Last Update Date | 2024-01-05 |