NPI | 1588906333 |
---|---|
Former Name | COURTNEY MORALES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036143819) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207V00000X Obstetrics & Gynecology (Licence: NM MD2019-0062) | |
Enumeration Date | 2013-03-20 |
Last Update Date | 2023-07-14 |