NPI | 1487636148 |
---|---|
Former Name | DIANE ADEL SCHUCKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA OS008635L) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: DE C2-0012979) |
Enumeration Date | 2005-11-17 |
Last Update Date | 2024-06-28 |