NPI | 1407172414 |
---|---|
Former Name | LAURA I LONGO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MD D0082622) |
Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: DC MD042145) |
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: VA 0101262126) | |
Enumeration Date | 2010-04-15 |
Last Update Date | 2025-03-05 |