NPI | 1689801532 |
---|---|
Former Name | REBECCA L TALIAFERRO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: GA 068956) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2009-06-18 |
Last Update Date | 2013-08-08 |