NPI | 1366633034 |
---|---|
Former Name | TOVA LYNN BURGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX N4967) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101248775) |
Enumeration Date | 2007-08-07 |
Last Update Date | 2025-09-29 |