NPI | 1265936769 |
---|---|
Former Name | ANNA RUTH BURKHOLDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101268402) |
Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101268402) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-03-20 |
Last Update Date | 2022-06-30 |