NPI | 1457708802 |
---|---|
Former Name | DIANE IRAGENA BIZIMANA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 328335) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101264178) |
Enumeration Date | 2016-05-16 |
Last Update Date | 2024-04-17 |