NPI | 1598966392 |
---|---|
Former Name | NICOLE A DUBAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2008010947) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2004015304) |
207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MO 2004015304) | |
Enumeration Date | 2007-05-30 |
Last Update Date | 2021-02-08 |