NPI | 1588284392 |
---|---|
Former Name | JOANNA O MITCHELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0102208419) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2020-04-22 |
Last Update Date | 2024-10-02 |