NPI | 1366561433 |
---|---|
Former Name | JACQUELINE V VASQUEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A87206) |
Additional Taxonomies | 174400000X Specialist (Licence: CA A87206) |
Enumeration Date | 2007-03-28 |
Last Update Date | 2023-03-07 |