| NPI | 1629458435 |
|---|---|
| Former Name | ELIZA RODRIGUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 82789) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: LA 000000) |
| Enumeration Date | 2015-06-06 |
| Last Update Date | 2019-08-27 |