NPI | 1043260979 |
---|---|
Former Name | ADRIENA COTHRON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2021031102) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036132778) |
Enumeration Date | 2006-05-11 |
Last Update Date | 2021-12-09 |