NPI | 1972876662 |
---|---|
Former Name | MEGHAN DESALE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D83542) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2012-02-11 |
Last Update Date | 2017-06-23 |