| NPI | 1417121013 |
|---|---|
| Former Name | DOMINIQUE M BUTAWAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN 54889) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 201200884) |
| 207V00000X Obstetrics & Gynecology (Licence: AR E-8519) | |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2017-01-19 |