NPI | 1578810669 |
---|---|
Former Name | CHELSY ROSE JUNGBLUTH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 170300000X Genetic Counselor, MS (Licence: MN 1049) |
Additional Taxonomies | 170300000X Genetic Counselor, MS |
Enumeration Date | 2012-08-08 |
Last Update Date | 2024-12-05 |