NPI | 1679939680 |
---|---|
Former Name | REBECCA ADELENA MATYAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: DC MD210002292) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D0094756) |
207V00000X Obstetrics & Gynecology (Licence: VA 0101275274) | |
Enumeration Date | 2016-01-06 |
Last Update Date | 2024-01-12 |