NPI | 1316073448 |
---|---|
Other Name | MARIJO NICOLE SOREM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MN 51556) |
Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: MN 51556) |
Enumeration Date | 2007-02-25 |
Last Update Date | 2019-07-25 |