NPI | 1326368648 |
---|---|
Former Name | HEATHER MARY SPONSEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD199005) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX Q0785) |
207V00000X Obstetrics & Gynecology (Licence: WA MD60801530) | |
Enumeration Date | 2010-06-09 |
Last Update Date | 2021-03-19 |