NPI | 1063649838 |
---|---|
Former Name | JARMARA LAURETTE HICE-GARZA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX P6634) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NM MD2014-0103) |
207V00000X Obstetrics & Gynecology (Licence: CA A144229) | |
Enumeration Date | 2009-06-18 |
Last Update Date | 2024-06-10 |