NPI | 1316333107 |
---|---|
Former Name | KARISSA HUGHES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ID M-14675) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: UT 10100582-1205) |
207V00000X Obstetrics & Gynecology (Licence: UT 10100582-8905) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-04-08 |
Last Update Date | 2019-07-26 |