NPI | 1093161739 |
---|---|
Former Name | ROXANA BUTTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2024-01700) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL 163393) |
Enumeration Date | 2016-05-12 |
Last Update Date | 2024-10-16 |