NPI | 1194216366 |
---|---|
Former Name | MOLLY WOODS BURGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: WA DO.DO.61537859) |
Enumeration Date | 2018-05-23 |
Last Update Date | 2024-07-08 |