NPI | 1477085066 |
---|---|
Former Name | MARGARET JANE REESE HEERWAGEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO DR.0066563) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2017-04-01 |
Last Update Date | 2021-07-06 |