NPI | 1821382433 |
---|---|
Former Name | JESSICA SOMERVILLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: LA 321666) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MD457268) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-06-01 |
Last Update Date | 2020-02-21 |