NPI | 1306372800 |
---|---|
Former Name | JULIE SUYAMA BONANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: CA A172670) |
Additional Taxonomies | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: VA 0101280488) |
Enumeration Date | 2017-05-04 |
Last Update Date | 2024-08-16 |