NPI | 1295114486 |
---|---|
Former Name | REBECCA MADELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AR E-11876) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2015-05-21 |
Last Update Date | 2022-05-05 |