NPI | 1780976167 |
---|---|
Former Name | JENNIFER BARTHOLOMEW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: TX Q9621) |
Additional Taxonomies | 208600000X Surgery (Licence: TX Q9621) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-05-04 |
Last Update Date | 2023-10-24 |