NPI | 1669865861 |
---|---|
Former Name | GINA MARIE DOLORESCO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: MO 2020011640) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2020011640) | |
Enumeration Date | 2015-03-11 |
Last Update Date | 2021-09-13 |