NPI | 1093107617 |
---|---|
Former Name | JENNA BORYS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: WA OP61199682) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: OH 34.013532) |
2086S0102X Surgery, Surgical Critical Care (Licence: WA OP61199682) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-02-19 |
Last Update Date | 2023-10-19 |