NPI | 1033457379 |
---|---|
Former Name | REBECCA TANNENBAUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 170300000X Genetic Counselor, MS (Licence: VA 0139000049) |
Additional Taxonomies | 170300000X Genetic Counselor, MS (Licence: CA GC000489.) |
Enumeration Date | 2013-01-22 |
Last Update Date | 2021-01-14 |