NPI | 1942866223 |
---|---|
Former Name | SAMANTHA DOCOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NH 22881) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 57.248422) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: NH 22881) | |
Enumeration Date | 2019-05-13 |
Last Update Date | 2023-06-23 |