NPI | 1396157988 |
---|---|
Former Name | TONI MARIE SHORMA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101258991) |
Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101258991) |
Enumeration Date | 2014-05-29 |
Last Update Date | 2023-04-05 |