| NPI | 1134506645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADELINE NDI NUKUNA President 267-650-7880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: DE C1-0009130) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D0078430) |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-05-04 |