NPI | 1962777151 |
---|---|
Former Name | JULIANNA ROSE DUNSTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 49165) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2012-03-20 |
Last Update Date | 2017-02-09 |