NPI | 1467072462 |
---|---|
Former Name | JESSICA MARIE VORK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 4583) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2020-04-20 |
Last Update Date | 2024-06-08 |