NPI | 1316443641 |
---|---|
Former Name | MADELEINE STREIT HIGGINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: NC 2023-02391) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2018-04-04 |
Last Update Date | 2024-03-06 |