NPI | 1891061206 |
---|---|
Former Name | JAMIE MICHELLE TAROUILLY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: NC 2016-00868) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2012-03-29 |
Last Update Date | 2016-09-22 |