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 | 2024-11-19 |