NPI | 1902196140 |
---|---|
Former Name | CAITLIN HEALY HOMBERGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 35870) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2011-04-08 |
Last Update Date | 2018-08-13 |