NPI | 1104958347 |
---|---|
Former Name | AMBER MOREAU SALAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA 26538) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX M7586) |
Enumeration Date | 2007-03-12 |
Last Update Date | 2023-10-26 |