NPI | 1780902981 |
---|---|
Former Name | PAULINA GORNEY BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208800000X Urology (Licence: VA 0101257996) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2010-05-12 |
Last Update Date | 2021-06-17 |