NPI | 1033650486 |
---|---|
Former Name | JENNIFER LEIGH ANDREWS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 208600000X Surgery (Licence: NC 2022-00181) |
Enumeration Date | 2017-03-18 |
Last Update Date | 2022-05-13 |