NPI | 1184990889 |
---|---|
Former Name | CHELSEA ELIZABETH STEPHENSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: UT 9747634-1205) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2012-03-27 |
Last Update Date | 2016-09-02 |