NPI | 1467405787 |
---|---|
Former Name | LISA M MINGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: AL MD.33730) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: ID M8994) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2024-10-05 |