NPI | 1518152370 |
---|---|
Former Name | SUNTREA TEONTA GOUDEAU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: TX P7774) |
Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: MI 4301090746) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301090746) | |
Enumeration Date | 2007-09-13 |
Last Update Date | 2013-09-09 |