NPI | 1720570682 |
---|---|
Former Name | STEPHANIE CARDENAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA 180601) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2018-06-05 |
Last Update Date | 2022-10-18 |