NPI | 1649280843 |
---|---|
Former Name | AMY JONSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MN 46012) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: DC MD036192) |
Enumeration Date | 2006-08-09 |
Last Update Date | 2023-01-19 |