| NPI | 1386950277 |
|---|---|
| Former Name | TIENEKA MARY BULTHUIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NM A-2346-20) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0102203053) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: VA 0102203053) | |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2023-10-19 |