NPI | 1912369141 |
---|---|
Former Name | ALICE RINGHEIM STODDART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MN 68834) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 68834) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-03-26 |
Last Update Date | 2023-02-08 |