NPI | 1356617435 |
---|---|
Former Name | LISETTE IRENE DAVIDSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: GA 86451) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 86451) |
207V00000X Obstetrics & Gynecology (Licence: CA A131471) | |
Enumeration Date | 2012-03-22 |
Last Update Date | 2024-08-30 |