NPI | 1093324162 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY NDIDI-EGBUNIWE OJO-CARONS Owner 757-473-2021 |
Organization Subpart ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery | |
225100000X Physical Therapist | |
Enumeration Date | 2020-07-24 |
Last Update Date | 2020-12-11 |