NPI | 1700267358 |
---|---|
Former Name | SARAH E GENNETTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME139324) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN21699) |
Enumeration Date | 2015-06-09 |
Last Update Date | 2021-08-06 |