| NPI | 1700220720 |
|---|---|
| Former Name | JENNIFER BALANDRAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IN 01080958B) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX R7958) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10047403) | |
| Enumeration Date | 2013-04-21 |
| Last Update Date | 2020-04-14 |