NPI | 1184070690 |
---|---|
Former Name | LAURA RUCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301504464) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207V00000X Obstetrics & Gynecology (Licence: GA 85187) | |
Enumeration Date | 2016-05-13 |
Last Update Date | 2022-06-07 |