NPI | 1528383163 |
---|---|
Former Name | JANELLE BETH PAKISH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NC 2018-00987) |
Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: TX Q7251) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2010-04-06 |
Last Update Date | 2019-09-06 |