NPI | 1164543773 |
---|---|
Former Name | GINNY GAYLE DESIMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA 280892) |
Enumeration Date | 2007-04-02 |
Last Update Date | 2009-05-18 |