NPI | 1568890309 |
---|---|
Former Name | ALICE MAE BALUHA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AZ AP5233) |
Enumeration Date | 2013-10-14 |
Last Update Date | 2021-10-11 |