NPI | 1154906642 |
---|---|
Former Name | MADALINE TALAMANTES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 170300000X Genetic Counselor, MS (Licence: MN 1463) |
Additional Taxonomies | 170300000X Genetic Counselor, MS (Licence: FL GC617) |
170300000X Genetic Counselor, MS (Licence: WI 1051) | |
Enumeration Date | 2021-03-16 |
Last Update Date | 2023-12-11 |