NPI | 1306089776 |
---|---|
Other Name | JANE AVERY SERENE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101282238) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO DR.00052138) |
Enumeration Date | 2009-04-14 |
Last Update Date | 2024-12-04 |