NPI | 1083105365 |
---|---|
Former Name | RUTH JOBARTEH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD477403) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MD J-163-751-020-480) |
Enumeration Date | 2018-05-23 |
Last Update Date | 2022-08-11 |