NPI | 1528229507 |
---|---|
Former Name | VANESSA LIGUDZINSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: CA A116919) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A116919) |
207V00000X Obstetrics & Gynecology (Licence: IL 125-053414) | |
Enumeration Date | 2008-06-22 |
Last Update Date | 2022-07-21 |