NPI | 1508849811 |
---|---|
Former Name | DIANA RODRIGUEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 156557) |
Additional Taxonomies | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: MA 156557) |
207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: MD D0065072) | |
Enumeration Date | 2005-11-22 |
Last Update Date | 2019-02-04 |