| NPI | 1356500805 |
|---|---|
| Former Name | JACINTA CATHERINE BORGELT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.099945) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 11014499A) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2021-07-26 |