NPI | 1295067767 |
---|---|
Former Name | MARY GELNETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD472712) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NE 26589) |
208D00000X General Practice (Licence: NE 26589) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2010-02-08 |
Last Update Date | 2021-06-09 |