NPI | 1629458435 |
---|---|
Former Name | ELIZA RODRIGUE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: SC 82789) |
Enumeration Date | 2015-06-06 |
Last Update Date | 2025-08-11 |