NPI | 1902369028 |
---|---|
Former Name | LEANNE ZABALA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A179497) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2019-04-08 |
Last Update Date | 2022-06-22 |