NPI | 1972966679 |
---|---|
Former Name | TEAH OETTING CAINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A152166) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2016-03-30 |
Last Update Date | 2023-08-16 |