NPI | 1861810954 |
---|---|
Former Name | ERICA KRISTEN GRANEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MI 4301500514) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301105077) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-04-04 |
Last Update Date | 2020-07-29 |