NPI | 1841793627 |
---|---|
Former Name | ALICIA SEGGELINK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.072280) |
Enumeration Date | 2018-03-17 |
Last Update Date | 2023-07-13 |