NPI | 1215468509 |
---|---|
Former Name | JENNIFER MACDOWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: ME MD26764) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2017-03-27 |
Last Update Date | 2023-08-01 |