NPI | 1144545302 |
---|---|
Former Name | JACQUELINE C. NEWTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A119961) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2010-03-31 |
Last Update Date | 2022-07-08 |