NPI | 1851915268 |
---|---|
Former Name | MARY ABIGAIL RINCHUSO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: AR E-19762) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2020-06-01 |
Last Update Date | 2025-08-20 |