NPI | 1710008784 |
---|---|
Former Name | JENNIGER SHORT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AR E-6425) |
Additional Taxonomies | 174400000X Specialist (Licence: AR E6425) |
Enumeration Date | 2007-04-03 |
Last Update Date | 2021-02-15 |