| NPI | 1952744104 |
|---|---|
| Other Name | GWENDOLYNE ANYANATE JACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 2928521) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2018-07-17 |