NPI | 1417362914 |
---|---|
Former Name | JENNIFER CATHERINE MCCLURE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: OR MD214260) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207V00000X Obstetrics & Gynecology (Licence: OH 35.139475) | |
Enumeration Date | 2014-06-24 |
Last Update Date | 2024-01-04 |