NPI | 1336358340 |
---|---|
Former Name | ROSALYN G PEACE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX S1865) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101018575) |
207V00000X Obstetrics & Gynecology (Licence: OH 58.002214) | |
Enumeration Date | 2007-05-22 |
Last Update Date | 2019-11-06 |