NPI | 1861802555 |
---|---|
Former Name | JESSICA RENEE BOOKBINDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 201801235) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2014-05-02 |
Last Update Date | 2022-08-09 |