NPI | 1578973327 |
---|---|
Former Name | AUSTIN GRAYCE HESTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: SC 85873) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2014-05-02 |
Last Update Date | 2023-01-27 |