NPI | 1235428426 |
---|---|
Former Name | JESSICA ROSE BULBIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: CO DR.0063251) |
Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: TN 54941) |
208000000X Pediatrics (Licence: CO DR.0063251) | |
Enumeration Date | 2011-03-29 |
Last Update Date | 2020-02-13 |