| 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 |