NPI | 1740353911 |
---|---|
Former Name | ANNA CATHERINE BORDELON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.149956) |
Enumeration Date | 2006-11-16 |
Last Update Date | 2024-07-11 |