NPI | 1639432180 |
---|---|
Former Name | ALISSE K HAUSPURG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: RI MD19760) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: RI MD19760) |
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MA 1020240) | |
Enumeration Date | 2012-06-20 |
Last Update Date | 2024-05-31 |