NPI | 1598105546 |
---|---|
Former Name | JULIANA ANQUANDAH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX T4923) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036.143720) |
Enumeration Date | 2013-07-04 |
Last Update Date | 2022-05-25 |