| NPI | 1417339961 |
|---|---|
| Former Name | ANGELA NATHALIE HALUSIC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A162491) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT208906) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2024-02-27 |