NPI | 1497944821 |
---|---|
Former Name | LANA KOCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35.097226) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 57013220) |
Enumeration Date | 2007-10-22 |
Last Update Date | 2020-10-30 |