NPI | 1114151784 |
---|---|
Former Name | VIRGINIA DURANT WINSTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AL 32191) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL TRN13494) |
Enumeration Date | 2009-05-11 |
Last Update Date | 2020-09-23 |