NPI | 1578024170 |
---|---|
Former Name | LYDIA GRACE KORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: SC 92082) |
Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101271452) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-03-26 |
Last Update Date | 2024-07-29 |