NPI | 1598483489 |
---|---|
Former Name | JOCELYN RENAE FIELDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: IN 211132) |
Enumeration Date | 2022-08-17 |
Last Update Date | 2022-08-19 |